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.

Closure of Secundum Atrial Septal Defect with Autologous Right Atrial Patch: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 96 ◽  
Author(s):  
Osman Tansel Dar�in ◽  
Alper Sami Kunt ◽  
Mehmet Halit Andac
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Complete Recovery ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Atrial Wall ◽  
Residual Shunt ◽  
Asd Closure ◽  
The Right

Background: Although various synthetic materials and pericardium have been used for atrial septal defect (ASD) closure, investigators are continuing to search for an ideal material for this procedure. We report and evaluate a case in which autologous right atrial wall tissue was used for ASD closure. Case: In this case, we closed a secundum ASD of a 22-year-old woman who also had right atrial enlargement due to the defect. After establishing standard bicaval cannulation and total cardiopulmonary bypass, we opened the right atrium with an oblique incision in a superior position to a standard incision. After examining the secundum ASD, we created a flap on the inferior rim of the atrial wall. A stay suture was stitched between the tip of the flap and the superior rim of the defect, and suturing was continued in a clockwise direction thereafter. Considering the size and shape of the defect, we incised the inferior attachment of the flap, and suturing was completed. Remnants of the flap on the inferior rim were resected, and the right atrium was closed in a similar fashion. Results: During an echocardiographic examination, neither a residual shunt nor perigraft thrombosis was seen on the interatrial septum. The patient was discharged with complete recovery. Conclusion: Autologous right atrial patch is an ideal material for ASD closure, especially in patients having a large right atrium. A complete coaptation was achieved because of the muscular nature of the right atrial tissue and its thickness, which is a closer match to the atrial septum than other materials.

scholarly journals Giant right atrium, what does it hide? Case presentation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
María Martín Talavera ◽  
Israel Valverde Pérez ◽  
Begoña Manso García
Keyword(s):  
Right Ventricle ◽  
Potential Risk ◽  
Right Atrium ◽  
Elevated Pressure ◽  
Right Atrial ◽  
Cardiac Abnormality ◽  
Case Presentation ◽  
Echocardiographic Images ◽  
Asymptomatic Infant ◽  
The Right

Abstract Background Malformation of the right atrium is a rare cardiac abnormality and is usually reported as isolated malformation in the literature. Case presentation Prenatal giant atrial dilatation in an asymptomatic infant was treated surgically at 18 months of age, due to potential risk of thrombosis and arrhythmias. Post-surgical echocardiographic images illustrate residual atrial elevated pressure. Conclusions Sometimes, as seems in our case, right atrial dilatation hides an associated restrictive right ventricle.

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 Right Atrial Tumor Resection and Reconstruction with Use of an Acellular Porcine Bladder Membrane

2016 ◽  
Vol 43 (2) ◽  
pp. 175-177 ◽  
Author(s):  
Walid K. Abu Saleh ◽  
Odeaa Al Jabbari ◽  
Basel Ramlawi ◽  
Brian A. Bruckner ◽  
Matthias Loebe ◽  
...  
Keyword(s):  
Urinary Bladder ◽  
Right Atrium ◽  
Tumor Resection ◽  
Right Atrial ◽  
Cardiac Tumors ◽  
Atrial Wall ◽  
Cardiac Reconstruction ◽  
Primary Cardiac Sarcoma ◽  
The Right ◽  
Atrial Tumor

Malignant cardiac tumors typically have a grave prognosis; their resection with negative margins is optimal. We present the case of a 21-year-old woman in whom we surgically resected a primary cardiac sarcoma and reconstructed the right atrium with use of a porcine urinary bladder membrane—the MatriStem® Surgical Matrix PSMX. The patient recovered uneventfully. Six months postoperatively, the right atrial wall had retained its integrity. In addition to our patient's case, we discuss the benefits of using the MatriStem membrane in cardiac reconstruction.

scholarly journals Surgical Treatment of Idiopathic Enlargement of the Right Atrium

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Francesca Chiara Surace ◽  
Federica Iezzi ◽  
Massimo Colaneri ◽  
Marco Pozzi
Keyword(s):  
Right Atrium ◽  
Congenital Heart ◽  
Heart Defects ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Shortness Of Breath ◽  
Resonance Imaging ◽  
Atrial Wall ◽  
Right Heart ◽  
The Right

Idiopathic enlargement of the right atrium (IERA) is a very rare abnormality. Approximately one-half (48%) of the patients with a congenital enlargement of the right atrium have no symptoms. When they occur, symptoms include shortness of breath (28% of cases), palpitations (17%), arrhythmias (12%), and in rare cases, right heart failure and extreme tiredness. We report one such case of a young man with a disproportionally enlarged right atrium. The basal transthoracic echocardiogram demonstrated a huge right atrium with a thick smoke pattern and mild tricuspid regurgitation in the absence of congenital heart disease. Magnetic resonance imaging confirmed the right atriomegaly, with initial compression of the right ventricle, and excluded congenital heart defects or absence of pericardium. The patient underwent surgical resection of the right atrial wall and the atriotomy was closed, leaving an atrial chamber of normal consistency and size. The resected atrium had normal and homogeneous wall thickness without significant fibrosis which confirmed the diagnosis of an idiopathic enlargement of the right atrium.

scholarly journals Perforation of the atrial wall and aortic sinus after closure of an atrial septal defect with an Atriasept occluder: a case report

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zai-Qiang Zhang ◽  
Jia-Wang Ding
Keyword(s):  
Case Report ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Emergency Operation ◽  
Atrial Wall ◽  
Aortic Sinus ◽  
Case Presentation ◽  
Lethal Complications ◽  
Life Threatening

Abstract Background While the perforation of the atrial wall and aortic sinus after closure of an atrial septal defect (ASD) is rare, it’s life-threatening, with rapid progress and high mortality. To the best of our knowledge, 21 similar cases have been reported since 1976. Case presentation We report a 16-year-old male whose atrial septal defect (ASD) was closed using a 12-mm Amplatzer septal occluder (ASO). Atrial wall and aortic sinus perforation occurred 3 months after transcatheter closure, and the patient was discharged after emergency operation. He was discharged on the 12th postoperative day in good overall condition. Conclusions With this case report, we want to illustrate that although percutaneous closure of ASD is regarded as a routine procedure, we should not forget the potentially lethal complications, especially cardiac erosion. Therefore, we should carefully evaluate the risk of erosion before surgery, and careful lifelong follow-up is needed.

scholarly journals Large papillary fibroelastoma of right atrium, an unusual case of respiratory distress in a young man

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yan Le Ho ◽  
Pui Fong Ng ◽  
Sotheenathan Krishinan ◽  
Basheer Ahamed Abdul Kareem
Keyword(s):  
Right Atrium ◽  
Clinical Manifestations ◽  
Clinical Information ◽  
Interatrial Septum ◽  
Papillary Fibroelastoma ◽  
Case Presentation ◽  
Intracardiac Masses ◽  
The Right ◽  
Embolic Risk

Abstract Background Papillary fibroelastomas are rare but benign cardiac tumour that are often found on cardiac valvular surfaces. Their clinical manifestations ranging from clinically asymptomatic to substantial complications that are usually secondary to systemic embolism. Multiple theories have been proposed to explain the pathophysiology of its formation. Case presentation We reported a rare case of large papillary fibroelastoma in the right atrium of a young gentleman which was complicated with pulmonary embolism. Transthoracic echocardiography identified a large pedunculated mass measuring 3.4cmX3.4cmX2cm in right atrium with stalk attached to interatrial septum. The intracardiac mass was resected surgically, which revealed papillary fibroelastoma in histology examination. Conclusion Differential diagnosis of intracardiac masses requires clinical information, laboratory tests and imaging modalities including echocardiography. Incidentally discovered papillary fibroelastomas are treated on the basis of their sizes, site, mobility and potential embolic complications. Due to the embolic risk inherent to intraacardiac masses, surgical resection represents an effective curative protocol in treating both symptomatic and asymptomatic right sided and left sided papillary fibroelastomas, with excellent long term postoperative prognosis.

scholarly journals P686 Right atrial, right ventricular and pulmonary cement embolism: a rare complication of percutaneous vertebroplasty

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
S Akhunova ◽  
R Khayrullin ◽  
N Stekolshchikova ◽  
M Samigullin ◽  
V Padiryakov
Keyword(s):  
Pulmonary Artery ◽  
Right Ventricle ◽  
Right Atrium ◽  
Percutaneous Vertebroplasty ◽  
Rare Complication ◽  
Clinical Manifestations ◽  
Stable Condition ◽  
Right Atrial ◽  
Cement Embolism ◽  
The Right

Abstract A 68-year-old man was admitted to the hospital with complaints of pain in the lumbar spine. He had L5 disc herniation, Spinal stenosis of the L5 root canal - S1 on the right in the past medical history. Percutaneous vertebroplasty at the level of L3 and Th8 vertebral bodies was performed six months ago due to painful vertebral hemangioma. The man is suffering from arterial hypertension, receives antihypertensive therapy. During routine transthoracic echocardiography, a hyperechoic structure with a size of 9.5 x 0.9 cm was found in the right atrium and right ventricle. Chest computed tomography with contrast enhancement revealed signs of bone cement in the right atrium and right ventricle, in the right upper lobe artery, in the branches of the upper lobe artery, in the paravertebral venous plexuses. Considering the duration of the disease, the stable condition, the absence of clinical manifestations and disorders of intracardiac hemodynamics, it was decided to refrain from surgical treatment. Antiplatelet therapy and dynamic observation were recommended. Conclusion Percutaneous vertebroplasty is a modern minimally invasive surgical procedure for the treatment of degenerative-dystrophic diseases of the spine. However, the cement can penetrate into the paravertebral veins and migrate to the right chambers of the heart and the pulmonary artery. This clinical case demonstrates asymptomatic cement embolism of the right chambers of the heart and pulmonary artery after percutaneous vertebroplasty, detected incidentally during routine echocardiography. Abstract P686 Figure.

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