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A Case of Giant Right Atrial Aneurysm in a Child

Ravindra S Pawar1, Ashish Tiwari2, P V Suresh1

  • 1Department of Pediatric Cardiology, Narayana Institute of Cardiac Sciences, Bengaluru, Karnataka, India.

World Journal for Pediatric & Congenital Heart Surgery
|February 18, 2016
PubMed

Insights

Giant right atrial aneurysms are rare in children and can mimic other conditions. This case highlights successful surgical resection of a large, asymptomatic right atrial aneurysm containing a clot in a child.

Area of Science:

  • Cardiology
  • Pediatric Surgery
  • Congenital Heart Disease

Background:

  • Giant right atrial aneurysm is an exceptionally rare condition in pediatric populations.
  • Distinguishing it from atrial diverticulum is crucial due to potential differences in management and prognosis.
  • While often incidental, atrial aneurysms can manifest with diverse clinical presentations.

Observation:

  • A case study involving an asymptomatic child diagnosed with a giant right atrial aneurysm.
  • The aneurysm was notably dilated and contained a significant intraluminal clot.
  • The child presented incidentally without overt symptoms related to the aneurysm.

Findings:

  • Successful surgical resection of the giant right atrial aneurysm was performed.
  • The procedure addressed the anatomical abnormality and the associated thrombus.
  • Histopathological analysis confirmed the nature of the aneurysm and clot.

Implications:

  • This case expands the understanding of giant right atrial aneurysms in children.
  • It underscores the importance of accurate diagnosis and surgical intervention for favorable outcomes.
  • Highlights the feasibility of complete resection even in large, clot-burdened aneurysms.

Keywords:
aneurysmatrialcongenital heart diseaseright atrial thrombus

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