Right atrial aneurysm with downward displacement of the anterior leaflet that resembled Ebstein's anomaly

被引:1
作者
Yamauchi, Sanae [1 ]
Suzuki, Yasuyuki [1 ]
Daitoku, Kazuyuki [1 ]
Kimura, Masaomi [2 ]
Okumura, Ken [2 ]
Fukuda, Ikuo [1 ]
机构
[1] Hirosaki Univ, Grad Sch Med, Dept Thorac & Cardiovasc Surg, 5 Zaifucho, Hirosaki, Aomori 0368562, Japan
[2] Hirosaki Univ, Grad Sch Med, Dept Cardiol, Hirosaki, Aomori, Japan
关键词
Ablative therapy; Atrial flutter; Tricuspid valve; Right atrial aneurysm; Ebstein's anomaly;
D O I
10.1007/s11748-016-0674-8
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 13-year-old boy presented with right atrial aneurysm and downward displacement of the anterior leaflet in the tricuspid valve into the right ventricle, without tricuspid valve regurgitation. Paroxysmal atrial flutter was caused by an abnormal electrical re-entry circuit, which could not be treated using catheter radiofrequency ablation. Therefore, the patient underwent surgical ablation and resection of the enlarged right atrial wall. The anterior leaflet of the tricuspid valve was plastered and displaced downward into the right ventricle, which resembled Ebstein's anomaly. Pathological evaluation revealed a thin wall that contained fibrous tissue with lipomatous degeneration and few muscular elements. No postoperative arrhythmia was observed.
引用
收藏
页码:404 / 407
页数:4
相关论文
共 8 条
  • [1] Agematsu Kota, 2009, Interact Cardiovasc Thorac Surg, V8, P705, DOI 10.1510/icvts.2008.200931
  • [2] Congenital malformations of the right atrium and the coronary sinus - An analysis based on 103 cases reported in the literature and two additional cases
    Binder, TM
    Rosenhek, R
    Frank, H
    Gwechenberger, M
    Maurer, G
    Baumgartner, H
    [J]. CHEST, 2000, 117 (06) : 1740 - 1748
  • [3] A rare case of congenital aneurysm of the right atrium
    Castro, Alexandra da Silva
    Ferreira, Nuno
    Ferraz, Ricardo
    Bettencourt, Nuno
    Mota, Joao Carlos
    Ribeiro, Vasco Gama
    [J]. REVISTA PORTUGUESA DE CARDIOLOGIA, 2014, 33 (09) : 567 - 568
  • [4] Epstein ML, 2008, MOSS ADAMS HEART DIS, P817
  • [5] Kouchonkos NT, 2003, KIRKLIN BARRATT BOYE, P1177
  • [6] FORMATION OF THE TRICUSPID-VALVE IN THE HUMAN HEART
    LAMERS, WH
    VIRAGH, S
    WESSELS, A
    MOORMAN, AFM
    ANDERSON, RH
    [J]. CIRCULATION, 1995, 91 (01) : 111 - 121
  • [7] Sato Yoshiyuki, 2015, Asian Cardiovasc Thorac Ann, V23, P314, DOI 10.1177/0218492313504768
  • [8] Anatomic repair of Ebstein's anomaly with isolated anterior leaflet downward displacement
    Wu, Qingyu
    Pan, Guangyu
    Li, Hongyin
    Kong, Xiangchen
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2014, 148 (04) : 1454 - +