A Case of Giant Right Atrium Diverticulum with Atrial Septal Defect

Giant Right Atrium Diverticulum with Atrial Septal Defect

Authors

  • Yangming Fan Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China
  • Hui Jiang Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China
  • Yu Wei Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China
  • Bing Zhang Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China
  • Jianjun Ge Department of Cardiovascular Surgery, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, Anhui, China

DOI:

https://doi.org/10.1532/hsf.3645

Keywords:

giant right atrium diverticulum, atrial septal defect, extracorporeal circulation

Abstract

Right atrium diverticulum is a rare congenital malformation. We present a previously unreported case of giant right atrium diverticulum (153 × 109 mm) in a 17-year-old female patient. Echocardiographic examination also showed an atrial septal defect (11 mm). Considering the risk of right atrium rupture, we performed femoral arteriovenous cannulation first, followed by median thoracotomy. The defect was repaired with an autologous pericardial patch. The patient recovered well after the operation, and this case is referential for surgical treatment of giant right atrium diverticulum.

References

Bezuska L, Bu’Lock FA, Anderson RH, Speggiorin S, Corno AF. Giant right atrial aneurysm: Antenatal diagnosis and surgical treatment. World J Pediatr Congen Heart Surg 2018;9:459-462.

Binder TM, Rosenhek R, Frank H, Gwechenberger M, Baumgartner H. Congenital malformations of the right atrium and the coronary sinus: An analysis based on 103 cases reported in the literature and two additional cases. Chest 2000;117:1740-1748.

Borgohain S, Malik L, Prasad S, Gupta A, Grover V, Gupta VK. Case of single right atrial diverticulum and review of etiology and management. Asian Cardiovasc Thoracic Ann 2013;21:592-595.

Gulati A, Gheta R, Chan CF, Ismail NA, Sheppard MN, Kilner PJ, Magee AG. Longitudinal follow-up of a right atrial appendage aneurysm by cardiac magnetic resonance imaging. Circulation 2011;123:2289-2291.

Morrow AG, Behrendt DM. Congenital aneurysm (diverticulum) of the right atrium. Clinical manifestations and results of operative treatment. Circulation 1968;38:124-128.

Narain VS, Puri A, Sethi R, Aga P, Behera S, Ahmed N, Saran RK. Giant right atrial aneurysm presenting as right heart failure. Indian Heart J 2012;64:200-202.

Tenckhoff L, Stamm SJ, Beckwith JB. Sudden death in idiopathic (congenital) right atrial enlargement. Postmortem findings and review of cases. Circulation 1969;40:227-235.

Published

2021-04-16

How to Cite

Fan, Y., Jiang, H., Wei, Y., Zhang, B., & Ge, J. (2021). A Case of Giant Right Atrium Diverticulum with Atrial Septal Defect: Giant Right Atrium Diverticulum with Atrial Septal Defect. The Heart Surgery Forum, 24(2), E369-E371. https://doi.org/10.1532/hsf.3645

Issue

Section

Articles