scholarly journals A patient with chronic dyspnea and episodes of paroxysmal atrial fibrillation in the presence of a right atrial mass

2020 ◽  
Author(s):  
Georgios Papaetis ◽  
Andreas Andreou ◽  
Stylianos Karvounaris
Keyword(s):  
Atrial Fibrillation ◽  
Paroxysmal Atrial Fibrillation ◽  
Clinical Status ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Histopathological Analysis ◽  
Unusual Condition ◽  
Right Atrial Mass ◽  
Lipomatous Hypertrophy

Lipomatous Hypertrophy of the Interatrial Septum (LHIS) is an unusual condition that can be presented as a mass-like bulge that typical spares of the fossa ovalis. We describe a 73-year-old overweight woman with dyspnea on exertion and two episodes of paroxysmal atrial fibrillation for the last eight months. A big sessile mass was detected in the interatrial septum measuring 3.7 x 4.7cm during transesophageal echocardiography. The patient underwent resection of the mass and pericardial patch reconstruction of the defect with significant improvement of her clinical status during the follow-up period. The histopathological analysis suggested LHIS.

Initial Experience with Robotic Epicardial Off-Pump Pulmonary Vein Isolation for Paroxysmal Atrial Fibrillation

2006 ◽  
Vol 1 (5) ◽  
pp. 247-250
Author(s):  
Filip Casselman ◽  
Ihsan Bakir ◽  
Pedro Brugada ◽  
Peter Geelen ◽  
Francis Wellens ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Pulmonary Vein Isolation ◽  
Paroxysmal Atrial Fibrillation ◽  
Pulmonary Veins ◽  
Median Sternotomy ◽  
Transverse Sinus ◽  
Right Atrial ◽  
Off Pump

Objective To evaluate the feasibility and results of isolated endoscopic pulmonary vein isolation for paroxysmal atrial fibrillation using robotics. Methods Between November 2004 and December 2005, 13 patients (38.5% female) underwent robotic pulmonary vein isolation at our institution. Mean age was 46.8 ± 8.4 years and mean preoperative duration of atrial fibrillation was 52.7 ±31.5 months. Indication for surgery was symptomatic drug-refractory paroxysmal atrial fibrillation or recurrence after percutaneous treatment (n = 3). Mean preoperative left atrial dimension was 38.5 ± 6.9 mm. The surgical procedure was performed off-pump as an isolated right chest approach. All procedures were performed using the Flex 10 microwave ablator (Guidant, Indianapolis, IN), which was positioned from the right side through the transverse sinus and around the 4 pulmonary veins. Postoperative drug regimen included sotalol and Coumadin. Mean follow-up was 8.5 ± 3.4 months. Results The procedure was successful in 11 patients. One patient needed conversion to median sternotomy for right pulmonary artery bleeding and a second patient had severe transverse sinus adhesions requiring conversion to a bilateral video-assisted small thoracotomy approach. No other morbidity occurred. Mean procedure time in successful cases was 2.7 ± 0.8 hours (range 1.7 to 4 hours). Permanent sinus rhythm was successfully restored in 10 of 13 patients (76.9% beyond 6 months). Nonsuccessful patients had markedly reduced symptoms and frequency of events. One patient required a left and another a right atrial flutter ablation during follow-up. Conclusions Robotic pulmonary vein isolation is a feasible procedure that has the potential to become a valid option in the treatment of paroxysmal atrial fibrillation.

Lipomatous Hypertrophy of the Interatrial Septum Presenting as an Obstructive Right Atrial Mass in a Patient with Exertional Dyspnea

2007 ◽  
Vol 20 (11) ◽  
pp. 1319.e3-1319.e5 ◽  
Author(s):  
Aylin Tugcu ◽  
Ozlem Yildirimturk ◽  
Emine Rizaoglu ◽  
Ertan Sagbas ◽  
Belhhan Polat ◽  
...  
Keyword(s):  
Interatrial Septum ◽  
Right Atrial ◽  
Exertional Dyspnea ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
Lipomatous Hypertrophy

scholarly journals Right Atrial Mass in a Patient With COVID-19 Pneumonia: a case report

2021 ◽  
Author(s):  
Fahmi Othman ◽  
Abdul Rehman Abid ◽  
Sabir Abdulkarim ◽  
Mohamad Khatib ◽  
Abdulqadir Nashwan ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cardiac Tumor ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Crista Terminalis ◽  
Atrial Mass ◽  
Right Atrial Mass ◽  
Lipomatous Hypertrophy ◽  
Benign Cardiac Tumor

Lipomatous hypertrophy of the interatrial septum (LHIAS) is a benign cardiac tumor. Differential diagnosis of LHIAS consists of atrial masses such as myxomas or lipomas. Herein, we report a 66-year-old male, admitted as a case of severe COVID-19 and was found to have a LHIAS extending to the crista terminalis.

scholarly journals Atrial strain performance in patients with paroxysmal atrial fibrillation undergoing successful radio-frequency catheter ablation

2021 ◽  
Vol 22 (Supplement_1) ◽  
Author(s):  
A Katbeh ◽  
T De Potter ◽  
P Geelen ◽  
S Nagumo ◽  
Z Balogh ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Radio Frequency ◽  
Paroxysmal Atrial Fibrillation ◽  
Time Course ◽  
Public Institution ◽  
Right Atrial ◽  
Significant Difference

Abstract Funding Acknowledgements Type of funding sources: Public Institution(s). Main funding source(s): International PhD Program in Cardiovascular Pathophysiology and Therapeutics CardioPaTh Background Radio-frequency catheter ablation (CA) is associated with changes of left atrial (LA) structure and function. However, there is limited knowledge regarding the long-term impact of successful CA on atrial morphology and mechanics. Purpose To compare the time course of LA and right atrial (RA) performance in patients with paroxysmal atrial fibrillation (AF) undergoing the first CA. Methods This prospective study included 89 consecutive patients (age:62 ± 21 years; 66% male) with a history of symptomatic AF who underwent successful CA. All patients maintained SR during follow-up. A comprehensive echocardiographic examination was performed 1- day before and 1-day, 3-month and 12-month after CA. The reservoir and contractile strain for both LA and RA (LAS, RAS), and left intra-atrial mechanical dispersion (LAMD) were assessed using 2D speckle tracking echocardiography in all three apical views (only 4CH view for RAS and LAMD). Results At baseline, all patients with paroxysmal AF showed a significant reduction of reservoir and contractile LAS and RAS compared with controls (all p < 0.01). CA was associated with a significant decrease in reservoir and contractile LAS while no significant difference was observed for RAS. At 3-month follow-up, the LAS showed full recovery, whereas the RAS did not show any significant change from 1-day post CA values. At 12-month follow-up, both reservoir and contractile LAS showed further improvement compared to baseline and 3-month values. LAMD derived from the LA strain curve followed a similar trend. Although the RA motion was not affected in the early phase, both reservoir and contractile RAS showed a significant increase between 3-month and 12-month follow-up. Conclusion Although the radio-frequency CA affected negatively LA performance in the acute phase, it has a long-term positive impact on both left and right atrial function. Figure Time course of reservoir and contractile LAS and RAS at Baseline, 1-day, 3-month and 12-month follow-up. Abstract Figure.

Long-Term Follow-Up After Right Atrial Radiofrequency Catheter Treatment of Paroxysmal Atrial Fibrillation

1998 ◽  
Vol 21 (11) ◽  
pp. 2533-2538 ◽  
Author(s):  
PIERRE JAIS ◽  
DIPEN C. SHAH ◽  
ATSUSHI TAKAHASHI ◽  
MELEZE HOCINI ◽  
MICHEL HAISSAGUERRE ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Paroxysmal Atrial Fibrillation ◽  
Right Atrial ◽  
Long Term Follow Up

Right atrial myxoma detected in a child two months after open-heart surgery

2019 ◽  
Vol 27 (7) ◽  
pp. 584-586 ◽  
Author(s):  
Mohammad Younes ◽  
Alwaleed Al-Dairy ◽  
Alaa Albadr
Keyword(s):  
Heart Surgery ◽  
Open Heart Surgery ◽  
Cardiac Myxoma ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Cardiac Tumors ◽  
Open Heart ◽  
Right Atrial Mass ◽  
Right Atrial Myxoma

Primary cardiac tumors are rare, and myxomas represent the most common type. Myxoma in a child is very rare. Herein, we present the case of a 4-year-old boy who was diagnosed with a right atrial mass two months after open-heart surgery for removal of a supra-mitral ring and repair of an interatrial septum aneurysm. He underwent surgery for resection of the mass, and pathological studies showed it was a cardiac myxoma. After 45 months of follow-up, the patient was alive without any recurrence or problems. This is the most rapidly growing myxoma ever reported in a child.

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