Neonatal Management of a Giant Right Atrial Appendage Aneurysm
| Autor: | Jozef Malysz, Robert D. Tunks, Joseph B. Clark |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
Atrial Appendage Hemodynamics Physiology (medical) Internal medicine Humans Medicine cardiovascular diseases Heart Aneurysm Ultrasonography Appendage Fetus Pregnancy business.industry Vaginal delivery Infant Newborn Disease Management medicine.disease Surgery cardiovascular system Cardiology Gestation Cardiology and Cardiovascular Medicine business |
| Zdroj: | Circulation. 132 |
| ISSN: | 1524-4539 0009-7322 |
| DOI: | 10.1161/circulationaha.115.017123 |
| Popis: | Aneurysms of the right atrial appendage are extremely rare, particularly in pediatric patients. A recent review identified just 17 cases reported in the literature to date, with only 3 cases identified in neonates.1 These aneurysms can be associated with tachyarrhythmia, intracardiac thrombus formation, thromboembolism, and right ventricular compression precipitating heart failure.1,2 In some instances, enlargement of the appendage may be related to idiopathic dilation of the entire right atrium, an entity that has been associated with sudden death.3 We present the case of a neonate diagnosed in utero with a right atrial appendage aneurysm that dramatically enlarged during the first weeks of life. The right atrial appendage aneurysm was first detected on fetal echocardiogram at 28 weeks of gestation (Figure 1). There were no pregnancy complications, including no fetal arrhythmias or evidence of fetal hydrops. The baby was born at 36 weeks gestation via vaginal delivery with good initial hemodynamics and an … |
| Databáze: | OpenAIRE |
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