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Case Report| Volume 32, ISSUE 2, P796-800, April 2018

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

      Key Words

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      References

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        • 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
        View in Article
        • Agematsu K.
        • Okamura T.
        • Ishihara K.
        • et al.
        Remarkable giant right atrial diverticulum in asymptomatic patient.
        Interact Cardiovasc Thorac Surg. 2009; 8: 705-707
        View in Article
        • 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
        View in Article
        • Sato Y.
        • Satokawa H.
        • Yamamoto A.
        • et al.
        Giant right atrial diverticulum with thrombus formation.
        Asian Cardiovasc Thorac Ann. 2015; 23: 314-316
        View in Article
        • Borgohain S.
        • Malik L.
        • Prasad S.
        • et al.
        Case of single right atrial diverticulum and review of etiology and management.
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        View in Article
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      Article info

      Publication history

      Published online: February 03, 2018

      Footnotes

      The authors declare that there are no statements of funding and no conflicts of interest.

      The patient gave written consent for publication of clinical reports and echo images.

      Identification

      DOI: https://doi.org/10.1053/j.jvca.2017.07.025

      Copyright

      © 2018 Elsevier Inc. All rights reserved.

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