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Giant Right Atrial Aneurysm in an Infant

Swati Garekar1, Ronak Sheth1, Nitin Chaubal2

  • 1Department of Pediatric Cardiology, 425959Fortis Pediatric and Congenital Heart Centre, Mulund, Mumbai, MH, India.

World Journal for Pediatric & Congenital Heart Surgery
|March 15, 2022
PubMed

Insights

A rare congenital heart defect, giant right atrial aneurysm (RAA) was detected before birth. Surgical removal successfully treated the infant, preventing further thrombo-embolic events.

Area of Science:

  • Cardiology
  • Congenital Heart Disease
  • Pediatric Surgery

Background:

  • Right atrial aneurysm (RAA) is a rare congenital anomaly.
  • Clinical presentation of RAA is diverse.
  • Antenatal detection of RAA is uncommon.

Observation:

  • A case of a giant RAA detected antenatally is presented.
  • The infant experienced staring spells, suspected to be thrombo-embolic events from the RAA.
  • The right coronary artery was displaced due to RAA invagination.

Findings:

  • Successful surgical resection of the giant RAA was performed.
  • The right coronary artery was preserved during surgery.
  • The anatomical relationship between RAA and the coronary artery was noted.

Implications:

  • This case highlights the importance of antenatal diagnosis of RAA.
  • Successful surgical management can prevent serious complications like thrombo-embolism.
  • Understanding the anatomical variations associated with RAA is crucial for surgical planning.

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