Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-26T17:55:06.706Z Has data issue: false hasContentIssue false
  • English
  • Français

Idiopathic dilatation of the right atrium: a not so benign entity

Published online by Cambridge University Press:  05 June 2020

Carin Walter Open the ORCID record for Carin Walter [Opens in a new window] ,
Joaquim Bartrons ,
Olga Gómez ,
José M. Caffarena  and
Juan M. Carretero
Carin Walter
Affiliation:
Paediatric Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
Joaquim Bartrons
Affiliation:
Paediatric Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
Olga Gómez
Affiliation:
Foetal i+D Foetal Medicine Research Center, BCNatal – Barcelona Centre for Maternal-Foetal and Neonatal Medicine (Hospital Clínic and Hospital Sant Joan de Déu), Institut Clínic de Ginecologia Obstetricia i Neonatologia, Institut d’Investigacions Biomèdiques August Pi i Sunyer, Universitat de Barcelona, Centre for Biomedical Research on Rare Diseases (CIBER-ER), Barcelona, Spain
José M. Caffarena
Affiliation:
Paediatric Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
Juan M. Carretero*
Affiliation:
Paediatric Cardiology, Hospital Sant Joan de Déu, Barcelona, Spain
*
Author for correspondence: J. Manuel Carretero Bellón, MD, Paediatric Cardiology Department, Hospital San Juan de Dios, Pg. Sant Joan de Déu 2, 08950Esplugues de Llobregat, Spain. Tel: +34 93 253 21 00; Fax: +34 93 203 39 59. E-mail: jcarretero@sjdhospitalbarcelona.org
Get access Rights & Permissions [Opens in a new window]

Abstract

Idiopathic dilatation of the right atrium is an isolated enlargement of the right atrium in the absence of other cardiac lesions. This rare anomaly has a clinical spectrum ranging from asymptomatic to heart failure or even sudden death. It can be associated with atrial arrhythmias and thrombus formation. Antiplatelet therapy is prescribed in most cases reported in the literature, and reduction plasty is indicated when there is rapid growth of the right atrium, compression of adjacent structures, or refractory arrhythmias. We report four cases of idiopathic dilatation of the right atrium diagnosed during prenatal screening. We describe the intrauterine course and management in postnatal life until early childhood.

Keywords

Idiopathic dilatationright atriumCHDatrial enlargementatrial surgery
Type
Review Article
Information
Cardiology in the Young , Volume 30 , Issue 7 , July 2020 , pp. 919 - 922
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Binder, T, Rosenhek, R, Frank, H, Gwechenberger, M, Maurer, G, Baumgartner, H. Congenital Malformations of the right atrium and the coronary sinus. Chest 2000; 117: 1740–1748.CrossRefGoogle ScholarPubMed
Blaysat, G, Villain, E, Marcon, F, et al.Prognosis and outcome of idiopathic dilatation of the right atrium in children. A cooperative study of 15 cases. Arch Mal Coeur Vaiss 1997; 90: 645–648.Google ScholarPubMed
Forbes, K, Kantoch, MJ, Divekar, A, Ross, D, Rebeyka, IMManagement of infants with idiopathic dilatation of the right atrium and atrial tachycardia. Pediatric Cardiology. 2007; 28: 289–296.CrossRefGoogle ScholarPubMed
Hofmann, SR, Heilmann, A, Häusler, HJ, Dähnert, I, Kamin, G, Lachmann, R. Congenital idiopathic dilatation of the right atrium: antenatal appearance, postnatal management, long-term follow-up and possible pathomechanism. Fetal Diagn Ther 2012; 32: 256–261.CrossRefGoogle ScholarPubMed
Paladini, D, Tiesi, M, Buffi, D, Tuo, G, Marasini, M. Unexplained right atrial enlargement may be a sign of Holt-Oram syndrome in the fetus. Ultrasound Obstet Gynecol. 2014; 43: 475–476.CrossRefGoogle ScholarPubMed
Tenckhoff, L, Stamm, SJ, Beckwith, B. Sudden death in idiopathic congenital right atrial enlargement. Circulation 1969; 40: 227–235.CrossRefGoogle ScholarPubMed
Deora, S, Sharma, AK, Garg, P. Idiopathic dilatation of the right atrium: a rare cause of right heart failure. Asian Cardiovasc Thorac Ann 2019; 27: 713–714.CrossRefGoogle ScholarPubMed
Long, MA. Giant right atrium: an extreme case of idiopathic dilation of the right atrium. Ann Thorac Surg 2014; 98: 1815–1818.CrossRefGoogle ScholarPubMed
Ostovan, M, Shahrzad, S, Taban, S, Moniri, A. Idiopathic right atrial enlargement. Asian Cardiovasc Thorac Ann 2013; 21: 717–719.CrossRefGoogle ScholarPubMed
Huang, Z. Repair of idiopathic dilatation of the right atrium. J Card Surg 2014; 29: 482–484.CrossRefGoogle ScholarPubMed
Srinivasa, KH, Kharge, J, Patil, S, Rangan, K, Ramalingam, R. Idiopathic dilatation of the right atrium: clinical and diagnostic pitfalls – a series of 3 cases. Echocardiography 2013; 30: 984–988.CrossRefGoogle Scholar
Wagner, N, Kagan, KO, Abele, H, Hoopmann, M, Kaulitz, R, Hofbeck, M. Fetal idiopathic dilatation of the right atrium. Ultraschall Med 2011; 32: 81–82.CrossRefGoogle ScholarPubMed
Forbes, K, Kantoch, MJ, Divekar, A, Ross, D, Rebeyka, IM. Management of infants with idiopathic dilatation of the right atrium and atrial tachycardia. Pediatr Cardiol 2007; 28: 289–296.CrossRefGoogle ScholarPubMed
Imren, Y, Halit, V, Kula, S, Olgunturk, R. Giant right atrial aneurysm: case report. Int J Cardiol 2006; 112: e66–e68.CrossRefGoogle ScholarPubMed
Niakara, A, Samadoulougou, AK, Nébié, LV, Ouandaogo, BJ. [A rare cause of right heart insufficiency: idiopathic dilatation of the right atrium (a case report)]. Tunis Med 1999; 77: 170–171.Google Scholar
Kozelj, M, Angelski, R, Pavcnik, D, Zorman, D. Idiopathic enlargement of the right atrium. Pediatr Cardiol 1998; 19: 420–421.CrossRefGoogle ScholarPubMed
Özyurt, A, Baykan, A, Argun, M, Pamukçu, Ö, Mavili, E, Narin, N. Spontaneously regressed congenital idiopathic dilatation of the right atrium in the newborn. Anadolu Kardiyol Derg 2014; 14: 90–92.Google ScholarPubMed
Khare, R, Chandra, S, Agarwal, V, Dwivedi, S. Idiopathic aneurysmal giant right atrial enlargement with thrombus formation. BMJ Case Rep 2014.CrossRefGoogle ScholarPubMed
Cantinotti, M, Scalese, M, Murzi, B, et al.Echocardiographic nomograms for chamber diameters and areas in Caucasian children. J Am Soc Echocardiogr. 2014; 27: 1279–1292.CrossRefGoogle ScholarPubMed
Narain, VS, Puri, A, Sethi, R, et al.Giant right atrial aneurysm presenting as right heart failure. Indian Heart J 2012; 64: 200–202.CrossRefGoogle ScholarPubMed
Jenni, R, Goebel, N, Schneider, L, Krayenbühl, HP. [Idiopathic familial right atrial dilatation]. Schweiz Med Wochenschr 1981; 111: 1565–1572. German.Google Scholar
Kurz, DJ, Oechslin, EN, Kobza, R, Jenni, R. Idiopathic enlargement of the right atrium: 23 year follow up of a familial cluster and their unaffected relatives. Heart 2004; 90: 1310–1314.CrossRefGoogle ScholarPubMed
Chatrath, R, Turek, O, Quivers, ES, Driscoll, DJ, Edwards, WD, Danielson, GK. Asymptomatic giant right atrial aneurysm. Tex Heart Inst J 2001; 28: 301–303.Google ScholarPubMed
Supplementary material: Image

Walter et al. supplementary material

Walter et al. supplementary material 1

Download Walter et al. supplementary material(Image)
Image 6 MB
Supplementary material: Image

Walter et al. supplementary material

Walter et al. supplementary material 2

Download Walter et al. supplementary material(Image)
Image 1.3 MB