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Eur J Cardiothorac Surg 2008;34:211. doi:10.1016/j.ejcts.2008.03.046
Copyright © 2008, European Association for Cardio-thoracic Surgery. Published by Elsevier. All rights reserved.
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Michael Milonakis
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Images in cardio-thoracic surgery

Right atrial aneurysm

Andrew C. Chatzisa,*, Michael Milonakisa, Kyriaki Papadopouloub, Nicholas M. Giannopoulosa

a Department of Paediatric and Congenital Cardiac Surgery, Onassis Cardiac Surgery Centre, Kallithea, Athens, Greece
b Department of Paediatrics, ‘Papageorgiou’ General Hospital, Thessaloniki, Greece

Received 18 January 2008; received in revised form 7 March 2008; accepted 22 March 2008.

* Corresponding author. Tel.: +30 210 9493318; fax: +30 210 9604193. (Email: achatzis{at}otenet.gr).

Key Words: Aneurysm • Right atrium • Congenital • Cardiac

A 13-year-old asymptomatic male presented with the incidental finding of cardiomegaly (Fig. 1 ). He was operated upon on prognostic grounds (risk of thromboembolism and arrhythmias). The aneurysm was excised and the right atrium repaired resulting in a normal size chamber (Fig. 2 ). The patient remains asymptomatic a year later.


Figure 1
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  		Fig. 1. Right atrial (RA) aneurysm presenting as cardiomegaly (A), found to be 8 cm in diameter by transthoracic echocardiography (ECHO) (B) and 400 ml in volume on MRI (C and F). RA reduced to 3.76 cm after surgery as seen in transoesophageal ECHO (E) resulting in a normal chest X-ray (D).

LA = left atrum, LV = left ventricle, RV = right ventricle, AO = Aorta, PA = pulmonary artery, CPB = cardiopulmonary bypass.

 

Figure 2
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  		Fig. 2. Intraoperative view. Large RA aneurysm (A), after CPB initiation (B), from the inside (C) after resection (D) and following repair (E).

 





This Article
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Right arrow Author home page(s):
Andrew C. Chatzis
Michael Milonakis
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Google Scholar
Right arrow Articles by Chatzis, A. C.
Right arrow Articles by Giannopoulos, N. M.
PubMed
Right arrow Articles by Chatzis, A. C.
Right arrow Articles by Giannopoulos, N. M.
Related Collections
Right arrow Cardiac - other
Right arrow Congenital - acyanotic

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