Idiopathic Right Atrial Enlargement (Volume: 700 cc) in a Young Man: A Case Report

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KHAJALI ZAHRA; Jorfi Fateme; Parsaee Mozhghan; KASAEI MOHAMMAD; Jafarifesharaki Mehrdad

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Journal: INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL Year:2019 | Volume:13 | Issue:4 Page(s): 139-141

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Title

Idiopathic Right Atrial Enlargement (Volume: 700 cc) in a Young Man: A Case Report

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Keywords

Ebstein Anomaly Heart Atria Cardiomyopathies Congenital Heart Disease

Abstract

Idiopathic right atrial dilation is known as a congenital anomaly in the absence of obvious causes that produce right ventricular pressure or volume overload. Congenital giant right atrium can cause functional tricuspid regurgitation, arrhythmia, and rightsided heart failure. A massive Idiopathic Dilation of Right Atrium (IDRA) was reported in a 30-year-old man presented with intermittent palpitation and dyspnea on effort. Transthoracic echocardiography revealed huge right atrium leading to severe tricuspid regurgitation, moderate right ventricular enlargement with moderate dysfunction, and no evidence of other valvular heart diseases increasing the right ventricular pressure or volume, left to right shunt, and Ebstein anomaly. Cardiac Magnetic Resonance Imaging (MRI) confirmed the right atrial enlargement. The estimated right atrium volume by MRI was about 700 mL. With regard to the patient’ s symptoms, he was scheduled for surgical treatment. The patient underwent partial surgical resection of the dilated right atrium wall and mechanical tricuspid valve replacement because the tricuspid valve was unrepairable on the operation table. Idiopathic right atrial enlargement is a very rare disease and may be easily confused with other anomalies that lead to right atrial enlargement, such as Ebstein anomaly. Hence, the probability of this pathology should be kept in mind when the usual etiologies of right atrial enlargement are excluded. Partial surgical resection of the dilated right atrium is an effective therapeutic option in symptomatic patients.

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APA: Copy

KHAJALI, ZAHRA, Jorfi, Fateme, Parsaee, Mozhghan, KASAEI, MOHAMMAD, & Jafarifesharaki, Mehrdad. (2019). Idiopathic Right Atrial Enlargement (Volume: 700 cc) in a Young Man: A Case Report. INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL, 13(4), 139-141. SID. https://sid.ir/paper/767586/en

Vancouver: Copy

KHAJALI ZAHRA, Jorfi Fateme, Parsaee Mozhghan, KASAEI MOHAMMAD, Jafarifesharaki Mehrdad. Idiopathic Right Atrial Enlargement (Volume: 700 cc) in a Young Man: A Case Report. INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL[Internet]. 2019;13(4):139-141. Available from: https://sid.ir/paper/767586/en

IEEE: Copy

ZAHRA KHAJALI, Fateme Jorfi, Mozhghan Parsaee, MOHAMMAD KASAEI, and Mehrdad Jafarifesharaki, “Idiopathic Right Atrial Enlargement (Volume: 700 cc) in a Young Man: A Case Report,” INTERNATIONAL CARDIOVASCULAR RESEARCH JOURNAL, vol. 13, no. 4, pp. 139–141, 2019, [Online]. Available: https://sid.ir/paper/767586/en

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