Percutaneous removal of a catheter fragment from the right atrium

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.

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Right Coronary Artery Fistula Draining into the Right Atrium and Associated with Mitral Valve Stenosis: A Case Report

The Heart Surgery Forum ◽

10.1532/hsf98.20071002 ◽

2007 ◽

Vol 10 (4) ◽

pp. E325-E328 ◽

Cited By ~ 2

Author(s):

Ali Gürbüz ◽

Ufuk Yetkin ◽

Ömer Tetik ◽

Mert Kestelli ◽

Murat Yesil

Keyword(s):

Case Report ◽

Coronary Artery ◽

Mitral Valve ◽

Right Coronary Artery ◽

Right Atrium ◽

Coronary Artery Fistula ◽

Mitral Valve Stenosis ◽

The Right

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Permanent Pacemaker Wire Vegetation in the Right Atrium

Circulation ◽

10.1161/01.cir.92.1.148 ◽

1995 ◽

Vol 92 (1) ◽

pp. 148-148 ◽

Cited By ~ 2

Author(s):

Prasad Chalasani ◽

David H. Montgomery ◽

George L. Chang ◽

Wacin Buddhari ◽

Joel M. Felner

Keyword(s):

Right Atrium ◽

Permanent Pacemaker ◽

The Right

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Mitral Re-Repair and Right Coronary Fistula Closure Advantage of Minimally Invasive Approach

Innovations Technology and Techniques in Cardiothoracic and Vascular Surgery ◽

10.1177/155698451000500614 ◽

2010 ◽

Vol 5 (6) ◽

pp. 456-459 ◽

Cited By ~ 1

Author(s):

Vincenzo Giordano ◽

Jan G. Grandjean

Keyword(s):

Mitral Valve ◽

Right Atrium ◽

Mild Hypothermia ◽

Posterior Wall ◽

Coronary Arteriography ◽

Coronary Fistula ◽

Invasive Approach ◽

Concomitant Procedure ◽

Echocardiographic Images ◽

The Right

A 51-year-old man developed severe mitral regurgitation 10 years after previous mitral valve repair; the echocardiographic images showed a remarkable eccentric jet toward posterior wall of left atrium associated with a high degree of pulmonary vein retrograde flow. The coronary arteriography pointed out no pathologic lesions but a coronary fistula from the proximal right coronary to the right atrium. The standard approach was avoided, and a right anterolateral minithoracotomy was chosen, providing an excellent view. Under cardiopulmonary bypass and mild hypothermia, the mitral valve was re-repaired, and a new ring was implanted. After aortic cross-clamp release, the right coronary fistula was closed through the right atrium. The postoperative course was uneventful, and the patient was discharged on the fourth postoperative day. In such a high-risk reintervention and concomitant procedure, we think that this different approach may represent a feasible and reliable alternative.

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Cardiac hemangioma of the right atrium

European Journal of Echocardiography ◽

10.1016/j.euje.2006.08.004 ◽

2006 ◽

Author(s):

S ZANATI ◽

J HUEB ◽

A COGNI ◽

M TEIXEIRADEMORAIS ◽

L ALMEIDAPRADOFRANCESCHI ◽

...

Keyword(s):

Right Atrium ◽

Cardiac Hemangioma ◽

The Right

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Resection of primary cardiac angiosarcoma infiltrating the right atrioventricular junction and tricuspid valve: a case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01426-w ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Lubna Bakr ◽

Hussam AlKhalaf ◽

Ahmad Takriti

Keyword(s):

Surgical Resection ◽

Tricuspid Valve ◽

Right Atrium ◽

Large Mass ◽

Small Mass ◽

Malignant Tumours ◽

Atrioventricular Junction ◽

Cardiac Angiosarcoma ◽

Complete Surgical Resection ◽

The Right

Abstract Background Primary cardiac tumours are extremely rare. Most of them are benign. Sarcomas account for 95% of the malignant tumours. Prognosis of primary cardiac angiosarcoma remains poor. Complete surgical resection is oftentimes hampered when there is extensive tumour involvement into important cardiac apparatus. We report a case of cardiac angiosarcoma of the right atrium and ventricle, infiltrating the right atrioventricular junction and tricuspid valve. Case presentation Initially, a 22-year-old man presented with dyspnoea. One year later, he had recurrent pericardial effusion. Afterwards, echocardiography revealed a large mass in the right atrium, expanding from the roof of the right atrium to the tricuspid valve. The mass was causing compression on the tricuspid valve, and another mass was seen in the right ventricle. Complete resection of the tumour was impossible. The mass was resected with the biggest possible margins. The right atrium was reconstructed using heterologous pericardium. The patient’s postoperative course was uneventful. Postoperative echocardiography showed a small mass remaining in the right side of the heart. Histopathology and immunohistochemistry confirmed the diagnosis of angiosarcoma. The patient underwent adjuvant chemotherapy and radiotherapy later on. He survived for 1 year and 5 days after the surgery. After a diagnosis of lung and brain metastases, he ended up on mechanical ventilation for 48 h and died. Conclusions Surgical resection combined with postoperative chemotherapy and radiotherapy is feasible even in patients with an advanced stage of cardiac angiosarcoma when it is impossible to perform complete surgical resection.

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Neonatal cardiogenic shock revealing obstructive cardiac Hibernoma: case report

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01582-z ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Rym Gribaa ◽

Marwen Kacem ◽

Sami Ouannes ◽

Wiem Majdoub ◽

Houssem Thabet ◽

...

Keyword(s):

Cardiogenic Shock ◽

Transthoracic Echocardiography ◽

Right Atrium ◽

Benign Tumors ◽

Histopathological Analysis ◽

Tricuspid Valve Repair ◽

Flow Measurements ◽

Surgical Specimen ◽

Eosinophilic Cytoplasm ◽

The Right

Abstract Background Cardiac Hibernomas are very rare benign tumors and usually remain asymptomatic. Neonatal cardiogenic shock due to cardiac tumors is extremely very rare. Until this date a few cases of cardiac hibernoma have been reported in the literature. Transthoracic echocardiography help in the differential diagnosis, but the definitive diagnosis is histological. The management strategy is not clearly codified. The Aim is to report and discuss the clinical features of a cardiac Hibernoma and review the relevant literature. Case presentation We describe a case of a 2-day-old Caucasian full-term male neonate admitted in neonate intensive care with cardiogenic shock, having fluid resuscitation and inotropic drugs. Ventilatory support was started immediately with the subsequent reestablishment of normal blood pressure. Then he was transferred to the echocardiography laboratory. Transthoracic echocardiography showed two echogenic masses in the right atrium and right ventricle. The masses were extended to the pulmonary trunk. Pulmonary artery flow measurements showed the presence of pulmonary and tricuspid obstruction. Surgery was rapidly considered since the baby was hemodynamically unstable. Intraoperative evaluation showed a mass embedded in the interventricular septum that occupy the right ventricular cavity and the right atrium. The tumor involved also the chordae of the tricuspid. Partial resection was done. Tricuspid valve repair was performed by construction of new chordae from the autologous pericardium. The specimen was sent for histopathological analysis. The baby died immediately after surgery. Histological examination of the surgical specimen revealed clear multivacuolated cells filled with lipid droplets and granular intense eosinophilic cytoplasm which confirms the diagnosis of Hibernoma. Conclusion Cardiac Hibernomas are rare benign tumors. The prognosis and treatment strategy is closely dependent on the location, initial clinical presentation and possible complications. The prognosis can be unfavorable if the tumor was obstructive and infiltrate the myocardium.

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