Right atrial aneurysm treated with atrioplasty without using cardiopulmonary bypass in an infant

Pragnesh Joshi1, Peter Pohlner

  • 1The Prince Charles Hospital, Brisbane, Qld, Australia. pragyj@yahoo.com

Insights

A massive right atrial aneurysm in an infant was successfully treated with restorative right atrioplasty. This innovative approach avoided cardiopulmonary bypass, offering a new treatment option for specific pediatric cardiac conditions.

Area of Science:

  • Cardiology
  • Pediatric Cardiac Surgery

Background:

  • Right atrial aneurysm is a rare cardiac anomaly.
  • Arrhythmias can be a presenting symptom in pediatric patients with right atrial aneurysm.

Observation:

  • A 7-month-old female infant presented with a massive right atrial aneurysm and arrhythmias.
  • The patient underwent a restorative right atrioplasty procedure.

Findings:

  • The surgical intervention was performed without the use of cardiopulmonary bypass.
  • The patient experienced a good postoperative outcome with an uneventful 5-month follow-up.

Implications:

  • Restorative right atrioplasty without cardiopulmonary bypass is a viable treatment for right atrial aneurysm in the absence of major congenital heart defects.
  • This technique may reduce surgical risks and recovery time in pediatric cardiac surgery.