Right atrial appendage aneurysm with intractable atrial tachycardia
A 44-year-old man presented with a history of crippling rapid palpitations. On evaluation, his ECGs showing incessant atrial tachycardia with variable AV conduction and LBBB during 1:1 AV conduction. Echocardiography showed right atrial (RA) dilatation with distortion of the tricuspid valve annulus....
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-09-01
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| Series: | IHJ Cardiovascular Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468600X20300098 |
| Summary: | A 44-year-old man presented with a history of crippling rapid palpitations. On evaluation, his ECGs showing incessant atrial tachycardia with variable AV conduction and LBBB during 1:1 AV conduction. Echocardiography showed right atrial (RA) dilatation with distortion of the tricuspid valve annulus. The RA dilatation was mainly because of giant RA appendage aneurysm; this was subsequently confirmed and delineated by transesophageal echocardiography and MRI. Limited aneurysmal resection with tricuspid valve ring annuloplasty was performed, and RA diathermy MAZE was carried out. |
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| ISSN: | 2468-600X |