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Published on: July 14, 2021
Foetal right atrial aneurysm and aortic coarctation with left ventricular dysfunction
Edem Binka1, Ahmet Baschat2, Angie Child Jelin2
1Department of Pediatrics, Division of Pediatric Cardiology, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Right atrial aneurysms are rare in children. This case highlights a fetal diagnosis of right atrial aneurysm with associated atrial tachycardia, pericardial effusion, and later aortic coarctation.
Area of Science:
- Pediatric Cardiology
- Fetal Cardiology
- Congenital Heart Disease
Background:
- Right atrial aneurysm is an exceptionally rare condition in pediatric patients.
- Congenital heart anomalies require early diagnosis and management.
Observation:
- A case of fetal diagnosis of right atrial aneurysm was identified.
- Associated findings included atrial tachycardia in both fetal and postnatal periods.
- Isolated pericardial effusion without hydrops fetalis was noted.
Findings:
- The study details a rare case of right atrial aneurysm diagnosed prenatally.
- Atrial tachycardia was present throughout fetal and postnatal life.
- Postnatal development of aortic coarctation was observed in this unique case.
Implications:
- This case expands the understanding of rare congenital cardiac anomalies.
- Highlights the importance of comprehensive fetal echocardiography for detecting subtle abnormalities.
- Suggests potential associations between right atrial aneurysm and other cardiovascular complications like aortic coarctation.
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