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Clinics and Practice
Volume 1
Issue 1
10.4081/cp.2011.e20
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Massively Dilated Right Atrium Masquerading as a Mediastinal Tumor

by
Thomas Schroeter
1,*,
Nicolas Doll
2,
Sreekumar Subramanian
1,
Friedrich W. Mohr
1 and
Michael A. Borger
1
1
Department of Cardiac Surgery, University of Leipzig, Heart Center, Leipzig, Germany
2
Department of Cardiac Surgery, Sana Heart Center Stuttgart, Stuttgart, Germany
*
Author to whom correspondence should be addressed.
Clin. Pract. 2011, 1(1), e20; https://doi.org/10.4081/cp.2011.e20
Submission received: 13 March 2011 / Revised: 13 March 2011 / Accepted: 6 April 2011 / Published: 14 April 2011

Abstract

Severe tricuspid valve insufficiency causes right atrial dilatation, venous congestion, and reduced atrial contractility, and may eventually lead to right heart failure. We report a case of a patient with severe tricuspid valve insufficiency, right heart failure, and a massively dilated right atrium. The enormously dilated atrium compressed the right lung, resulting in a radiographic appearance of a mediastinal tumor. Tricuspid valve repair and reduction of the right atrium was performed. Follow up examination revealed improvement of liver function, reduced peripheral edema and improved New York Heart Association (NYHA) class. The reduction of the atrial size and repair of the tricuspid valve resulted in a restoration of the conduit and reservoir function of the right atrium. Given the chronicity of the disease process and the long-standing atrial fibrillation, there is no impact of this operation on right atrial contraction. In combination with the reconstruction of the tricuspid valve, the reduction atrioplasty will reduce the risk of thrombembolic events and preserve the right ventricular function.
Keywords: right atrium; mediastinal tumor; tricuspid valve insufficiency right atrium; mediastinal tumor; tricuspid valve insufficiency

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MDPI and ACS Style

Schroeter, T.; Doll, N.; Subramanian, S.; Mohr, F.W.; Borger, M.A. Massively Dilated Right Atrium Masquerading as a Mediastinal Tumor. Clin. Pract. 2011, 1, e20. https://doi.org/10.4081/cp.2011.e20

AMA Style

Schroeter T, Doll N, Subramanian S, Mohr FW, Borger MA. Massively Dilated Right Atrium Masquerading as a Mediastinal Tumor. Clinics and Practice. 2011; 1(1):e20. https://doi.org/10.4081/cp.2011.e20

Chicago/Turabian Style

Schroeter, Thomas, Nicolas Doll, Sreekumar Subramanian, Friedrich W. Mohr, and Michael A. Borger. 2011. "Massively Dilated Right Atrium Masquerading as a Mediastinal Tumor" Clinics and Practice 1, no. 1: e20. https://doi.org/10.4081/cp.2011.e20

APA Style

Schroeter, T., Doll, N., Subramanian, S., Mohr, F. W., & Borger, M. A. (2011). Massively Dilated Right Atrium Masquerading as a Mediastinal Tumor. Clinics and Practice, 1(1), e20. https://doi.org/10.4081/cp.2011.e20

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