Giant Right Atrial Aneurysm: Antenatal Diagnosis and Surgical Treatment

2016 ◽  
Vol 9 (4) ◽  
pp. 459-462 ◽  
Author(s):  
Laurynas Bezuska ◽  
Frances A. Bu’Lock ◽  
Robert H. Anderson ◽  
Simone Speggiorin ◽  
Antonio F. Corno
Keyword(s):  
Heart Failure ◽  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Natural History ◽  
Antenatal Diagnosis ◽  
Right Atrial ◽  
Right Atrial Aneurysm ◽  
Early Preparation

Giant congenital right atrial aneurysms are rare, with their natural history complicated by death, heart failure, arrhythmias, and thrombosis. Prenatal diagnosis of the defect is feasible and allows an early preparation of a plan for management. We present details of a patient diagnosed prenatally with a giant right atrial aneurysm, which was successfully treated surgically as soon as the patient became symptomatic.

scholarly journals Giant right atrial aneurysm presenting as right heart failure

2012 ◽  
Vol 64 (2) ◽  
pp. 200-202 ◽  
Author(s):  
V.S. Narain ◽  
Aniket Puri ◽  
R. Sethi ◽  
Pallavi Aga ◽  
Suresh Behera ◽  
...  
Keyword(s):  
Heart Failure ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Right Heart ◽  
Right Atrial Aneurysm

scholarly journals Immunotherapy for Metastatic Melanoma with Right Atrial Involvement in a Patient with Rheumatoid Arthritis

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Zachary Benson ◽  
Sarah Gordon ◽  
Patricia Nicolato ◽  
Andrew Poklepovic
Keyword(s):  
Rheumatoid Arthritis ◽  
Heart Failure ◽  
Surgical Treatment ◽  
Autoimmune Disease ◽  
Adverse Events ◽  
Metastatic Melanoma ◽  
Response To Therapy ◽  
Right Atrial ◽  
Durable Response ◽  
Life Threatening

Prognosis for metastatic melanoma has improved significantly with the use of immune checkpoint inhibitors. Given improvements in survival, aggressive surgical treatment may be considered in patients with life-threatening complications from their disease that would not otherwise be considered in advanced disease. Patients with preexisting autoimmune diseases or prior immune-related adverse events from therapy are largely excluded from clinical trials. Concerns exist that immunotherapy in these patients could worsen autoimmune disease or increase the risk of developing additional immune-related adverse events on therapy. We present a case of a patient with rheumatoid arthritis that presented with obstructive heart failure secondary to melanoma that had metastasized to the right atrium. After aggressive surgical resection to stabilize him from his life-threatening heart failure, he was treated with ipilimumab, which was stopped due to an immune-related adverse event. He was then started on pembrolizumab and had a durable response to therapy. Aggressive surgical treatment should be considered in patients with a cancer that may respond to immunotherapy. Furthermore, some patients with preexisting autoimmune disease may be safely treated with checkpoint inhibition therapy, and patients with a severe immune toxicity from one class may successfully be treated with an alternate class.

Giant right atrial aneurysm. Prenatal diagnosis and outcome of a rare congenital abnormality

2019 ◽  
Vol 40 (6) ◽  
pp. 872-873
Author(s):  
Ángel Chimenea ◽  
Lutgardo García-Díaz ◽  
María Moreno-De las Heras ◽  
Félix Coserria ◽  
Guillermo Antiñolo
Keyword(s):  
Prenatal Diagnosis ◽  
Congenital Abnormality ◽  
Right Atrial ◽  
Rare Congenital Abnormality ◽  
Right Atrial Aneurysm

Prenatal diagnosis of megacystis-microcolon-intestinal hypoperistalsis syndrome

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Barbara Markota ◽  
Anna Maria Gross ◽  
Christian Specht ◽  
Caroline Schertler ◽  
Melissa Rhomberg ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Surgical Treatment ◽  
Diagnostic Criteria ◽  
Antenatal Diagnosis ◽  
Congenital Disorder ◽  
Intestinal Pseudoobstruction ◽  
Chronic Intestinal Pseudoobstruction ◽  
Rare Congenital Disorder ◽  
Hypoperistalsis Syndrome

AbstractMegacystis-microcolon-intestinal hypoperistalsis syndrome (MMIHS) is a rare congenital disorder, acknowledged as the most debilitating form of chronic intestinal pseudoobstruction disorders. Because the disease is often fatal in the first years of life and the surviving individuals are dependent on supportive medical or surgical treatment, definite antenatal diagnosis is desirable. We report a case of prenatally diagnosed MMIHS and discuss the suspicious findings and diagnostic criteria that allow a rapid and definite prenatal diagnosis.

scholarly journals An atypical assessment of Ebstein’s anomaly in an 86-year-old man

2015 ◽  
Vol 76 (2) ◽  
Author(s):  
Antonello D’Andrea ◽  
Giancarlo Scognamiglio ◽  
Franco Giordano ◽  
Sergio Cuomo ◽  
Maria Giovanna Russo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Natural History ◽  
Supraventricular Tachycardia ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Ebstein’S Anomaly ◽  
Congenital Disease ◽  
Right Heart ◽  
Ebstein's Anomaly ◽  
History Of

We present the echocardiographic analysis of an 86- year-old man affected by Ebstein’s anomaly. In the natural history of this congenital disease only 5% of patients survive beyond the fifth decade. The patient presented severe right atrial dilatation and right heart failure, and he was referred to our institution for supraventricular tachycardia.

Surgical treatment of congenital right atrial aneurysm in an adult patient

2004 ◽  
Vol 52 (5) ◽  
pp. 254-256 ◽  
Author(s):  
Shinya Masuda ◽  
Yoshikatsu Saiki ◽  
Kazuo Itoh ◽  
Mitsuaki Sadahiro
Keyword(s):  
Surgical Treatment ◽  
Adult Patient ◽  
Right Atrial ◽  
Right Atrial Aneurysm

scholarly journals P32.12: Giant right atrial aneurysm-prenatal diagnosis

2007 ◽  
Vol 30 (4) ◽  
pp. 576-576
Author(s):  
S. A. Clur ◽  
B. Straver ◽  
M. Hazekamp ◽  
J. Ottenkamp ◽  
C. M. Bilardo
Keyword(s):  
Prenatal Diagnosis ◽  
Right Atrial ◽  
Right Atrial Aneurysm

Right atrial aneurysm

1995 ◽  
Vol 5 (4) ◽  
pp. 354-356 ◽  
Author(s):  
Yong jin Kim ◽  
Hyunjo Kim ◽  
Jung Yun Choi
Keyword(s):  
Heart Failure ◽  
Congestive Heart Failure ◽  
Right Atrium ◽  
The Other ◽  
Right Atrial ◽  
Definite Diagnosis ◽  
Surgical Exploration ◽  
Aneurysmal Dilation ◽  
The Right ◽  
Right Atrial Aneurysm

SummaryAneurysmal dilation of the right atrium is described in a four-year-old boy who presented with cardiomegaly and symptoms of congestive heart failure. Echocardiography revealed the aneurysmal dilation of the right atrium, but a definite diagnosis was obtained only after surgical exploration. This had caused compression of the other cardiac chambers resulting in congestive heart failure. Surgical resection was successful and the patient was discharged on the eleventh postoperative day with good results.

scholarly journals Prenatal diagnosis of right atrial diverticulum and outcomes: a case report

2020 ◽  
Author(s):  
Peyman Tabnak ◽  
Mohammad Ghaderi
Keyword(s):  
Prenatal Diagnosis ◽  
Right Atrium ◽  
Right Atrial ◽  
Atrial Wall ◽  
Case Presentation ◽  
Low Dose Aspirin ◽  
Congenital Condition ◽  
Life Threatening ◽  
The Right ◽  
Right Atrial Aneurysm

Abstract Background Right atrial diverticulum is a rare congenital condition which causes the right atrium enlargement. The squeals of this condition can vary from cardiac abnormalities to respiratory distress and systemic thromboembolism, hence Identifying these patients can prevent life-threatening outcomes. Prenatal diagnosis has the benefit of better following up and managing patients to prevent later subsequences. Case presentation Echocardiography of the neonate 3 days after birth showed a massive right atrium with a diverticulum measuring 2.09*2.27 cm connected laterally to the right atrium without any clot in it. A fibromuscular strand was seen at the entry of the diverticulum through the right atrium.CT-Angiography 16 days after birth showed a massive right atrium with a diverticulum in the right hemithorax and confirmed the diagnosis.The patient underwent on low dose aspirin therapy to prevent thromboembolism.After 16 months the patient goes on well this condition without cardiac or respiratory symptoms and echocardiography showed the diverticulum size increased to 3.5*2.5 cm without any clot in it.Surgical resection has not proceeded yet because the patient has been asymptomatic until now.ConclusionBecause of the rarity of this condition, management of these patients is highly dependent on the symptoms they show, and also early diagnosis can prevent further medical squeals. Low doses aspirin is suggested to prevent the formation of thrombosis. Surgical resection can be done in patients with serious cardiac or respiratory abnormality, It is important to do not misdiagnosis this condition with a right atrial aneurysm which involves whole layers of the atrial wall. Although outcomes of both conditions are almost the same, using a proper term to establish an accurate diagnosis preferred.

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