scholarly journals Transatrial stenting for long‐term management of cardiac tumor obstruction of the right atrium in 3 dogs

2020 ◽  
Author(s):  
Chick Weisse ◽  
Brian A. Scansen ◽  
Allyson C. Berent ◽  
Rick E. Cober
Keyword(s):  
Right Atrium ◽  
Cardiac Tumor ◽  
The Right ◽  
Term Management

scholarly journals Large papillary fibroelastoma of right atrium, an unusual case of respiratory distress in a young man

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yan Le Ho ◽  
Pui Fong Ng ◽  
Sotheenathan Krishinan ◽  
Basheer Ahamed Abdul Kareem
Keyword(s):  
Right Atrium ◽  
Clinical Manifestations ◽  
Clinical Information ◽  
Interatrial Septum ◽  
Papillary Fibroelastoma ◽  
Case Presentation ◽  
Intracardiac Masses ◽  
The Right ◽  
Embolic Risk

Abstract Background Papillary fibroelastomas are rare but benign cardiac tumour that are often found on cardiac valvular surfaces. Their clinical manifestations ranging from clinically asymptomatic to substantial complications that are usually secondary to systemic embolism. Multiple theories have been proposed to explain the pathophysiology of its formation. Case presentation We reported a rare case of large papillary fibroelastoma in the right atrium of a young gentleman which was complicated with pulmonary embolism. Transthoracic echocardiography identified a large pedunculated mass measuring 3.4cmX3.4cmX2cm in right atrium with stalk attached to interatrial septum. The intracardiac mass was resected surgically, which revealed papillary fibroelastoma in histology examination. Conclusion Differential diagnosis of intracardiac masses requires clinical information, laboratory tests and imaging modalities including echocardiography. Incidentally discovered papillary fibroelastomas are treated on the basis of their sizes, site, mobility and potential embolic complications. Due to the embolic risk inherent to intraacardiac masses, surgical resection represents an effective curative protocol in treating both symptomatic and asymptomatic right sided and left sided papillary fibroelastomas, with excellent long term postoperative prognosis.

scholarly journals P854 The role of multimodality imaging in revealing a rare cause of persistent ascites

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
A M Buburuz ◽  
D T M Marcu ◽  
I Demsa ◽  
G Tinica ◽  
A Petris ◽  
...  
Keyword(s):  
Pulmonary Disease ◽  
Right Atrium ◽  
Multimodality Imaging ◽  
Cardiac Myxoma ◽  
Right Atrial ◽  
Benign Tumors ◽  
Cardiac Tumors ◽  
Tumor Type ◽  
The Right

Abstract Primary cardiac tumors are very rare causes of intracavitary masses, about 5% of all cardiac tumors. Most of them are benign tumors, and 50% are represented by atrial myxomas. They are usually developed in the left atrium, with a pedicle attached to the interatrial septum. Cardiac myxomas are one of the "greatest mimes" of pathology, with a polymorphic clinical presentation, from obstructive, to embolic and constitutional clinical manifestation. We present the case of a 58-year-old female patient with 4 years history of chronic obstructive pulmonary disease (COPD), on bronchodilator treatment and long-term oxygen therapy. She accused two months duration of abdominal distension due to ascites, for which she was evaluated in the gastroenterology department and received diuretics association. The symptoms were refractory to the treatment, so the patient was referred for cardiovascular examination. At presentation, the patient was afebrile, with a heart rate of 100/minute, blood pressure was 125/90 mmHg. Cardiovascular examination did not reveal any murmurs, jugular venous distension was present. 12-lead electrocardiogram (ECG): sinus rhythm, with right atrial enlargement. The transthoracic echocardiography (TTE) and transesophageal echocardiography (TEE) revealed a lobulated giant mass in RA, which occupied almost the entire cavity, with prolapse towards the right ventricle during diastole. Due to the large intracavitary mass, the point of attachment could not be ascertained. Computed tomography (CT) of the thorax was performed and it confirmed the presence of the giant right cardiac mass. The patient underwent surgical excision of the tumor under cardiopulmonary bypass. Intraoperative findings were represented by a yellowish-brown lobulated friable mass in the right atrium cavity, measuring 70/30/35 mm. The pedicle of the tumor was inserted on the free wall of the right atrium. The histopathological examination revealed round to stellate cells in a myxoid stroma, specific for cardiac myxoma. Postoperative evolution was influenced by the severe pulmonary disease, with prolonged mechanical ventilation and positive inotropic support, but it was slowly favorable, and the patient was discharged in good condition. Right atrial myxoma is a very rare intracardiac tumor with nonspecific forms of clinical presentations, that create difficulties in diagnosis. Ascites represents an unusual form of manifestation in a patient with a cardiac tumor. The insertion of the pedicle of the myxoma was atypical and induced difficulties in early evaluation of the tumor type. Even though myxomas are mainly benign tumors, the complication rate is very high, especially of embolic events due to the friable tumoral mass, so they can become life threatening conditions. Early diagnosis of cardiac myxoma based on multimodality imaging is essential, leading to optimal surgical management, with good long-term survival. Abstract P854 Figure. TEE view of giant RA tumor

Long-term survival after radical surgery for renal cell carcinoma with tumour thrombus extension into the right atrium

2012 ◽  
Vol 111 (3b) ◽  
pp. E59-E64 ◽  
Author(s):  
Jan Dominik ◽  
Petr Moravek ◽  
Pavel Zacek ◽  
Jan Vojacek ◽  
Miroslav Brtko ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Right Atrium ◽  
Renal Cell ◽  
Radical Surgery ◽  
Term Survival ◽  
Long Term Survival ◽  
Tumour Thrombus ◽  
The Right

Ventriculo-direct atrial shunts

1972 ◽  
Vol 36 (4) ◽  
pp. 438-440 ◽  
Author(s):  
Edwin G. Fischer ◽  
John Shillito ◽  
Samuel Schuster
Keyword(s):  
Pleural Effusion ◽  
Phrenic Nerve ◽  
Right Atrium ◽  
Cyst Formation ◽  
Primary Treatment ◽  
Long Term Results ◽  
Content Type ◽  
The Right ◽  
Fine Print

✓ Ventriculoatrial shunts were performed on 10 patients by placing the cardiac tube directly into the right atrium via the auricular appendage at thoracotomy, and the long-term results after 3 to 6 years were analyzed. Complications included distractions of the upper part of the shunt, pleural cyst formation, pleural effusion, and phrenic nerve injury. The procedure is not recommended for the primary treatment of hydrocephalus, but is useful when simpler shunts are no longer possible or desirable.

Calcified thrombus in the right atrium: A rare complication of long-term parenteral nutrition in a child

1991 ◽  
Vol 26 (1) ◽  
pp. 91-93 ◽  
Author(s):  
Michael D. Tarantino ◽  
M.Andre Vasu ◽  
Terry H. Von Drak ◽  
C.Peter Crowe ◽  
John N. Udall
Keyword(s):  
Parenteral Nutrition ◽  
Right Atrium ◽  
Rare Complication ◽  
The Right ◽  
Calcified Thrombus
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