scholarly journals Pleural effusion and acute right heart failure due to a ruptured right sinus of Valsalva aneurysm and correction by surgical intervention

2020 ◽  
Vol 12 (2) ◽  
pp. 150-151
Author(s):  
Jianmei Li ◽  
Qing Li ◽  
Yan Shen ◽  
Lihong Zhang ◽  
Chunmei Zhang ◽  
...  
Keyword(s):  
Heart Failure ◽  
Pleural Effusion ◽  
Right Atrium ◽  
Surgical Intervention ◽  
Right Heart Failure ◽  
Sinus Of Valsalva ◽  
Right Heart ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

In the study, we present the case of a 65-year-old male with rupture of right SVA into the right atrium that caused pleural effusion and acute right-sided heart failure (ARHF), which corrected by surgical intervention.

scholarly journals Giant Unruptured Sinus of Valsalva Aneurysm: An Unusual Cause of Right Heart Failure

2015 ◽  
Vol 5 ◽  
pp. 64 ◽  
Author(s):  
Tejeshwar Singh Jugpal ◽  
Rashmi Dixit ◽  
Samta Lohchab ◽  
Anju Garg
Keyword(s):  
Heart Failure ◽  
Right Ventricular Outflow Tract ◽  
Right Heart Failure ◽  
Ventricular Outflow Tract ◽  
Unruptured Aneurysm ◽  
Outflow Tract ◽  
Sinus Of Valsalva ◽  
Right Heart ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

Aneurysm of sinus of Valsalva is a rare cardiac abnormality. Unruptured aneurysm of sinus of Valsalva is usually asymptomatic and often discovered incidentally. However, a large aneurysm can, in rare cases, cause compression of the ventricular outflow tract. We report a case of 17-year-old male with congestive right heart failure with a large, partially thrombosed unruptured aneurysm of the right sinus of Valsalva. The aneurysmal sac was compressing the right ventricular outflow tract causing marked dilatation of the right ventricle and atrium that was confirmed on contrast-enhanced computed tomography imaging. Unruptured sinus of Valsalva aneurysm causing right heart failure in adolescence has been rarely reported in literature.

Idiopathic dilatation of the right atrium: a rare cause of right heart failure

2019 ◽  
Vol 27 (8) ◽  
pp. 713-714 ◽  
Author(s):  
Surender Deora ◽  
Alok Kumar Sharma ◽  
Pawan Garg
Keyword(s):  
Heart Failure ◽  
Right Atrium ◽  
Right Heart Failure ◽  
Right Heart ◽  
The Right

scholarly journals Right Heart Failure Due to Secondary Chondrosarcoma in the Right Atrium

2020 ◽  
Vol 13 (4) ◽  
Author(s):  
Michael Haslinger ◽  
Christian Dinges ◽  
Marcel Granitz ◽  
Eckhard Klieser ◽  
Uta C. Hoppe ◽  
...  
Keyword(s):  
Heart Failure ◽  
Right Atrium ◽  
Right Heart Failure ◽  
Right Heart ◽  
Secondary Chondrosarcoma ◽  
The Right

Surgical Rescue After Failed Percutaneous Closure of an Aorto-Atrial Tunnel

2019 ◽  
Vol 11 (4) ◽  
pp. NP232-NP234
Author(s):  
Federica Caldaroni ◽  
Mauro Lo Rito ◽  
Antonio Saracino ◽  
Alessandro Varrica ◽  
Luca Giugno ◽  
...  
Keyword(s):  
Heart Failure ◽  
Surgical Intervention ◽  
Right Atrial ◽  
Valve Regurgitation ◽  
Aortic Valve Regurgitation ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right ◽  
Indication For Treatment ◽  
New Onset

Congenital sinus of Valsalva aneurysm is a rare disorder, mostly involving the right and noncoronary sinuses, in which intracardiac rupture is more likely foreseen into the right chambers. Because of the unfavorable prognosis, which includes heart failure and sudden death, detection itself is an indication for treatment, which may be performed either surgically or percutaneously. We present a case of a four-year-old patient with aorto-right atrial tunnel, in which a transcatheter attempt of closure was performed, complicated by new onset of aortic valve regurgitation, requiring surgical intervention.

scholarly journals P234 Giant right atrial myxoma presenting as right heart failure

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
G Carazo Vargas ◽  
J A Fuentes Mendoza ◽  
M E Ruiz Esparza
Keyword(s):  
Heart Failure ◽  
Emergency Department ◽  
Right Atrium ◽  
Clinical Case ◽  
Right Ventricular Outflow Tract ◽  
Right Heart Failure ◽  
Ventricular Outflow Tract ◽  
Atrial Myxoma ◽  
Right Heart ◽  
The Right

Abstract Introduction Myxomas are the most frequent primary cardiac neoplasms. It is currently believed that myxomas are derived from multipotent mesenchymal cells capable of both neural and epithelial differentiation Histologically, these tumors are composed of dispersed cells within a stroma of mucopolysaccharides Myxomas produce vascular endothelial growth factor, which probably contributes to the growth induction at the initial stages of tumor growth. Tumors vary widely in size, ranging from 1 to 15 cm in diameter and weighing between 15 and 180 g. About 35 percent of myxomas are friable, and they tend to present emboli. The clinical characteristics of these tumors are closely related to their location, size, and mobility; there are no specific signs and symptoms that suggest the presence of a myxoma. There are several mechanisms by which cardiac tumors can cause symptoms. The blockage of circulation through the heart or heart valves produces symptoms of heart failure. Atrial myxoma can interfere with the valves of the heart and cause regurgitation. They can also produce systemic embolisms and constitutional signs. Clinical Case We present a 29-year-old female patient who started with fatigue, weight loss, increased abdominal perimeter and dyspnea of one month"s effort that progressed to dyspnea at rest in the last week associated with syncope, so she decided to go to the emergency department of our institution. Upon arrival at the emergency room, the patient was found with vital signs within normal parameters, however with dyspnea at rest, jugular plethora and important lower limb edema. On auscultation, a systolic-diastolic murmur was found with an increase in the Rivero Carvallo maneuver, with reinforcement of the pulmonary component of the second noise and parasternal high-left rise. In clinical analysis, NT-proBNP 5698pg/mL, AST 34, INR 1.65 and serum lactate of 4.2 was found. A Transthoracic Echocardiogram (TTE) was performed, where a 10cm mass effusion was documented that occupied the entire right atrium and protruded into the right ventricular outflow tract. With these findings, medical treatment was started for right heart failure and it was to cardiac surgery for resection of the right atrium where it had been performed, however during the immediate postoperative state, presented biventricular failure and later asystole without achieving a return of spontaneous circulation despite resuscitation maneuvers. Conclusion In this case, it is an unusual presentation of a rare cardiac pathology that started with symptoms of right heart failure due to the obstruction of the right ventricular outflow tract. We consider that it is an interesting clinical case and with important educational aspects to take into consideration the differential clinical diagnoses of a patient presenting to the emergency department with right heart failure. Abstract P234 Figure. Giant Myxoma

scholarly journals Acute Heart Failure due to Noncoronary Sinus of Valsalva Aneurysm with Rupture into the Right Atrium

2015 ◽  
Vol 44 (3) ◽  
pp. 144-147 ◽  
Author(s):  
Takaaki Samura ◽  
Yasushi Tsutsumi ◽  
Osamu Monta ◽  
Satoshi Numata ◽  
Sachiko Yamazaki ◽  
...  
Keyword(s):  
Heart Failure ◽  
Acute Heart Failure ◽  
Right Atrium ◽  
Sinus Of Valsalva ◽  
Sinus Of Valsalva Aneurysm ◽  
The Right

Tricuspid valve relocation with endomyocardial fibrosis removal for Löeffler’s endocarditis

2019 ◽  
Vol 56 (3) ◽  
pp. 622-624
Author(s):  
Tohru Asai ◽  
Fumihiro Miyashita ◽  
Hiromitsu Nota ◽  
Piers N Vigers
Keyword(s):  
Heart Failure ◽  
Right Ventricle ◽  
Right Atrium ◽  
Hypereosinophilic Syndrome ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Endomyocardial Fibrosis ◽  
Right Heart ◽  
Atrial Enlargement ◽  
The Right

Abstract Löffler endocarditis with hypereosinophilic syndrome is rare but can cause critical ventricular obliteration by endomyocardial fibrosis. A 52-year-old woman experienced severe right heart failure with extreme shrinkage of her right ventricle, severe tricuspid regurgitation and marked right atrial enlargement. Preoperative tests showed identical pressures in the right atrium and pulmonary artery. Endocardial stripping was done, and to enlarge the right ventricle, we relocated the anterior and posterior tricuspid leaflets cephalad, up the right atrium wall, to ‘ventricularize’ a portion of the right atrium, with autologous pericardial augmentation of the tricuspid leaflets. An annuloplasty ring was added to reinforce the relocated tricuspid attachment. Right heart pressures normalized postoperatively. The patient recovered uneventfully. She has received corticosteroid therapy continuously and has shown no recurrence of heart failure in the 5 years since surgery.

scholarly journals A Rare Cause of Dyspnea: Sudden Rupture of Aortic Valsalva Sinus Aneurysm

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Erdinç Arıkan ◽  
Arif Karagöz ◽  
Serdar Bayata ◽  
Levent Yilik ◽  
Erden Erol Ünlüer
Keyword(s):  
Heart Failure ◽  
Right Atrium ◽  
Surgical Repair ◽  
Ruptured Aneurysm ◽  
Cardiac Abnormality ◽  
Common Complication ◽  
Sinus Of Valsalva ◽  
Right Heart ◽  
The Right

Aneurysm of the sinus of Valsalva is an uncommon cardiac abnormality; however, the most common complication is rupture into the right heart chambers or rarely towards the left chambers. A ruptured aneurysm typically leads to an aortocardiac shunt and progressively worsening heart failure. We report a case of a 21-year-old male who suffered an aneurysm of the sinus of Valsalva rupture into the right atrium who underwent successful surgical repair.

scholarly journals Massively dilated right atrium masquerading as a mediastinal tumor

2011 ◽  
Vol 1 (1) ◽  
pp. 20
Author(s):  
Thomas Schroeter ◽  
Nicolas Doll ◽  
Sreekumar Subramanian ◽  
Friedrich W. Mohr ◽  
Michael A. Borger
Keyword(s):  
Heart Failure ◽  
Tricuspid Valve ◽  
Right Atrium ◽  
Mediastinal Tumor ◽  
Right Heart Failure ◽  
Right Atrial ◽  
Right Heart ◽  
Tricuspid Valve Insufficiency ◽  
Valve Insufficiency ◽  
The Right

Severe tricuspid valve insufficiency causes right atrial dilatation, venous congestion, and reduced atrial contractility, and may eventually lead to right heart failure. We report a case of a patient with severe tricuspid valve insufficiency, right heart failure, and a massively dilated right atrium. The enormously dilated atrium compressed the right lung, resulting in a radiographic appearance of a mediastinal tumor. Tricuspid valve repair and reduction of the right atrium was performed. Follow up examination revealed improvement of liver function, reduced peripheral edema and improved New York Heart Association (NYHA) class. The reduction of the atrial size and repair of the tricuspid valve resulted in a restoration of the conduit and reservoir function of the right atrium. Given the chronicity of the disease process and the long-standing atrial fibrillation, there is no impact of this operation on right atrial contraction. In combination with the reconstruction of the tricuspid valve, the reduction atrioplasty will reduce the risk of thrombembolic events and preserve the right ventricular function.

scholarly journals P1242 Giant right atrium aneurysm presenting as right heart failure

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
F V Moniz Mendonca ◽  
J A S Sousa ◽  
J M Monteiro ◽  
M R Mraquel ◽  
M N Neto ◽  
...  
Keyword(s):  
Heart Failure ◽  
Atrial Fibrillation ◽  
Right Ventricle ◽  
Right Atrium ◽  
Adult Life ◽  
Right Heart Failure ◽  
Outflow Tract ◽  
Right Heart ◽  
History Of ◽  
The Right

Abstract Introduction Idiopathic aneurysmal dilatations of the right atrium are rare anomalies. It can be diagnosed at any time between foetal and adult life. This exceptional condition can be confused with other conditions that involve enlargement of right atrium. We report a clinical case of a symptomatic adult who was diagnosed with giant right atrium aneurysm. Case report An 83-year-old female presented with complaints of fatigue, paroxysmal nocturnal dyspnoea, exertional dyspnoea, orthopnoea and cough since last week. There were no history of syncope, convulsions or evidence of thromboembolism. There were a medical history of diverticulosis and atrial fibrillation (warfarin therapy). The principal findings on physical examination included holosystolic murmur at the left middle sternal border, pulmonary rales, jugular venous distension, enlarged liver and peripheral oedema. An electrocardiogram showed an atrial fibrillation with a controlled heart rate response, right axis deviation, right bundle-branch block. A chest radiography posteroanterior view showed a markedly enlarged cardiac silhouette, increased pulmonary vascular congestion, and bilateral pleural effusions. Computed tomography (CT) scan showed aneurysmal dilated right atrium communicating with right ventricle. Right ventricle (RV) and RV outflow tract were dilated with normal pulmonary arteries. Two-dimensional transthoracic echocardiography revealed aneurysmal dilated right atrium measuring 398mL/m2. The tricuspid valve was no displaced. There was severe tricuspid regurgitation and no stenosis. The right atrium was kinetic without any intracavitary thrombus. The intertrial and interventricular septa were intact. The right ventricle and outflow tract were mildly dilated with preserved systolic function. The left atrium and left ventricle were normal. The patient was admitted to the cardiology department with the diagnosis of right heart failure. Conclusion Aneurysm of right atrium is an uncommon condition. It is diagnosed as a disproportionately enlarged right atrium compared to the other cardiac chambers in the absence of other cardiac or hemodynamic abnormalities and must be distinguished from other anomalies causing structural pathology of the right atrium. Approximately, one-half of the patients have no symptoms. Others presented with arrhythmia, palpitations, chest pain, shortness of breath, and fatigue. The major rhythm abnormality is atrial fibrillation or atrial flutter. Our patient presented with symptoms of right heart failure and atrial fibrillation. The right enlargement is usually associated with tricuspid annular dilatation responsible for functional regurgitation, which can be severe in some cases. The diagnosis of right atrium malformation can be established by echocardiography, CT or magnetic resonance imaging. Literature reports various ways to manage these patients. Treatment ranges from conservative to surgical resection specially in the presence of arrhythmias. Abstract P1242 Figure. Aneurysm of right atrium

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