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Intraoperative Transesophageal Echocardiographic Findings in Surgical Resection of a Giant Right Atrial Diverticulum That Severely Compressed the Right Ventricle

Published:February 03, 2018DOI:https://doi.org/10.1053/j.jvca.2017.07.025
      A RIGHT ATRIAL (RA) diverticulum is a rare congenital malformation characterized by extraordinary cardiac enlargement that is often incidentally diagnosed by cardiac imaging.
      • Binder T.M.
      • Rosenhek R.
      • Frank H.
      • et al.
      Congenital malformations of the right atrium and the coronary sinus, an analysis based on 103 cases reported in the literature and two cases.
      • Agematsu K.
      • Okamura T.
      • Ishihara K.
      • et al.
      Remarkable giant right atrial diverticulum in asymptomatic patient.
      • Morrow A.G.
      • Behrendt D.M.
      Congenital aneurysm (diverticulum) of the right atrium: Clinical manifestation and results of operative treatment.
      • Sato Y.
      • Satokawa H.
      • Yamamoto A.
      • et al.
      Giant right atrial diverticulum with thrombus formation.
      • Borgohain S.
      • Malik L.
      • Prasad S.
      • et al.
      Case of single right atrial diverticulum and review of etiology and management.
      The etiology and optimal treatment of an RA diverticulum remain unclear because patients cases are asymptomatic. Although surgical resection is indicated for symptomatic patients, there have been no reports of intraoperative transesophageal echocardiography (TEE) of an RA diverticulum.

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      References

        • Binder T.M.
        • Rosenhek R.
        • Frank H.
        • et al.
        Congenital malformations of the right atrium and the coronary sinus, an analysis based on 103 cases reported in the literature and two cases.
        Chest. 2000; 117: 1740-1748
        • Agematsu K.
        • Okamura T.
        • Ishihara K.
        • et al.
        Remarkable giant right atrial diverticulum in asymptomatic patient.
        Interact Cardiovasc Thorac Surg. 2009; 8: 705-707
        • Morrow A.G.
        • Behrendt D.M.
        Congenital aneurysm (diverticulum) of the right atrium: Clinical manifestation and results of operative treatment.
        Circulation. 1968; 38: 124-128
        • Sato Y.
        • Satokawa H.
        • Yamamoto A.
        • et al.
        Giant right atrial diverticulum with thrombus formation.
        Asian Cardiovasc Thorac Ann. 2015; 23: 314-316
        • Borgohain S.
        • Malik L.
        • Prasad S.
        • et al.
        Case of single right atrial diverticulum and review of etiology and management.
        Asian Cardiovasc Thorac Ann. 2013; 21: 592-595
        • Bernasconi A.
        • Delezoide A.L.
        • Menez F.
        • et al.
        Prenatal rupture of a left ventricular diverticulum: A case report and review of the literature.
        Prenat Diagn. 2004; 24: 504-507
        • Wagdy K.
        • Samaan A.
        • Romeih S.
        • et al.
        Giant left atrial appendage aneurysm compressing the left anterior descending coronary artery.
        Echocardiography. 2016; 33: 1790-1792
        • Guerra V.C.
        • Coles J.
        • Smallhorn J.F.
        Aneurysm of right atrium diagnosed by 3-dimensional real-time echocardiogram.
        J Am Soc Echocardiogr. 2005; 18 (e1–3): 1221
        • Harder E.E.
        • Ohye R.G.
        • Knepp M.D.
        • et al.
        Pediatric giant right atrial aneurysm: A case series and review of the literature.
        Congenit Heart Dis. 2014; 9: E70-E77
        • Srinivasa K.H.
        • Kharge J.
        • Patil S.
        • et al.
        Idiopathic dilatation of the right atrium: Clinical and diagnostic pitfalls—A series of 3 cases.
        Echocardiography. 2013; 30: 984-988
        • Attenhofer Jost C.H.
        • Connolly H.M.
        • Dearani J.A.
        • et al.
        Ebstein’s anomaly.
        Circulation. 2007; 115: 277-285
        • Hoey E.T.D.
        • Nagra I.
        • Ganeshan A.
        Cardiac aneurysms and diverticula: Magnetic resonance and computed tomography appearances.
        Curr Probl Diagn Radiol. 2011; 40: 72-84
        • Restrepo C.S.
        • Lane M.J.
        • Murillo H.
        Cardiac aneurysms, pseudoaneurysms, and diverticula.
        Semin Roentgenol. 2012; 47: 262-276
        • Genç B.
        • Solak A.
        • Kantarci M.
        • et al.
        Anatomical features and clinical importance of left atrial diverticula: MDCT findings.
        Clin Anat. 2014; 27: 738-747