Atypical And Severe Enlargement Of Right Atrium

A 76 year-old woman was admitted to the Emergency Department for recent-onset dyspnea and cough. The electrocardiogram was considered inconclusive. A thoracic X-ray showed global cardiac profile enlargement. Computed tomography, acutely performed in the clinical suspicion of atypical pneumonia/myoca...

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Bibliographic Details
Published in:Acta bio-medica de l'Ateneo Parmense 2016-09, Vol.87 (2), p.191-193
Main Authors: Siniscalchi, Carmine, Rossetti, Pietro, Rocci, Anna, Rubino, Pasquale, Basaglia, Manuela, Gaibazzi, Nicola, Quintavalla, Roberto
Format: Article
Language:English
Subjects:
Aged
Cardiomegaly - diagnostic imaging
Ebstein Anomaly - diagnostic imaging
Echocardiography
Female
Heart Atria - pathology
Humans
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Summary:A 76 year-old woman was admitted to the Emergency Department for recent-onset dyspnea and cough. The electrocardiogram was considered inconclusive. A thoracic X-ray showed global cardiac profile enlargement. Computed tomography, acutely performed in the clinical suspicion of atypical pneumonia/myocarditis or pericardial effusion, showed cardiac enlargement especially of the right chambers. In order to investigate Ebstein's anomaly, pericardial cysts, tumors or other conditions of the right heart a simple trans-thoracic echocardiogram was performed. Four chambers view showed a giant right atrium aneurysm with moderate tricuspid regurgitation without stenosis or typical Ebstein's echocardiographic pattern.
ISSN:0392-4203