Incidental discovery of an unusual right atrial membrane in an adult patient
We describe presence of an unusual right atrial membrane in a 30-year old female with end stage renal disease, hypertension and peripheral vascular disease. The patient was scheduled for midline sternotomy and pericardiotomy and removal of a migrated vascular stent in the right pulmonary artery. An...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2012-01-01
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| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=4;spage=309;epage=311;aulast=Aldawoodi |
| _version_ | 1818543012243832832 |
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| author | Nasrin N Aldawoodi Harendra Arora Priya A Kumar |
| author_facet | Nasrin N Aldawoodi Harendra Arora Priya A Kumar |
| author_sort | Nasrin N Aldawoodi |
| collection | DOAJ |
| description | We describe presence of an unusual right atrial membrane in a 30-year old female with end stage renal disease, hypertension and peripheral vascular disease. The patient was scheduled for midline sternotomy and pericardiotomy and removal of a migrated vascular stent in the right pulmonary artery. An intraoperative transesophageal echocardiogram (TEE) revealed an unusual membranous structure with fenestrations that stretched across the right atrium with attachments superiorly at the free wall and inferiorly at the inter-atrial septum. There was no evidence of flow obstruction across the tricuspid valve. Some of the considerations for the likely diagnosis of this structure were a prominent Eustachian valve, persistent Chiari network, aneurysmal inter-atrial septum, an inter-atrial septal cyst or Cor triatriatum dexter (CTD). |
| first_indexed | 2024-12-11T22:29:42Z |
| format | Article |
| id | doaj.art-c81e0553a1f54516a895c6e222a72e45 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-12-11T22:29:42Z |
| publishDate | 2012-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-c81e0553a1f54516a895c6e222a72e452022-12-22T00:48:11ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842012-01-0115430931110.4103/0971-9784.101870Incidental discovery of an unusual right atrial membrane in an adult patientNasrin N AldawoodiHarendra AroraPriya A KumarWe describe presence of an unusual right atrial membrane in a 30-year old female with end stage renal disease, hypertension and peripheral vascular disease. The patient was scheduled for midline sternotomy and pericardiotomy and removal of a migrated vascular stent in the right pulmonary artery. An intraoperative transesophageal echocardiogram (TEE) revealed an unusual membranous structure with fenestrations that stretched across the right atrium with attachments superiorly at the free wall and inferiorly at the inter-atrial septum. There was no evidence of flow obstruction across the tricuspid valve. Some of the considerations for the likely diagnosis of this structure were a prominent Eustachian valve, persistent Chiari network, aneurysmal inter-atrial septum, an inter-atrial septal cyst or Cor triatriatum dexter (CTD).http://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=4;spage=309;epage=311;aulast=AldawoodiEpidural blockParavertebral blockPost-thoracotomy painAortic surgeryBleedingHypothermiaTransfusionCardiac surgeryIABPIntensive careIntra-aortic balloon pumpSurveyAcute kidney injuryCardiopulmonary bypassManagementBlunt traumaBlunt cardiac injuryAortic injuryCesarean sectionComplete atrio-ventricular septal defectEisenmenger syndromePregnancyBroncho-esophageal fistulaeOne lung ventilationThoracic epiduralCardiac surgeryHyperkalemic periodic paralysisPeri-operative anesthetic managementNephrotic syndromeCardiopulmonary bypassGeneral anesthesiaAtrial septal defectCor triatriatum dexterEmbryologic remnantRight atrial membrane |
| spellingShingle | Nasrin N Aldawoodi Harendra Arora Priya A Kumar Incidental discovery of an unusual right atrial membrane in an adult patient Annals of Cardiac Anaesthesia Epidural block Paravertebral block Post-thoracotomy pain Aortic surgery Bleeding Hypothermia Transfusion Cardiac surgery IABP Intensive care Intra-aortic balloon pump Survey Acute kidney injury Cardiopulmonary bypass Management Blunt trauma Blunt cardiac injury Aortic injury Cesarean section Complete atrio-ventricular septal defect Eisenmenger syndrome Pregnancy Broncho-esophageal fistulae One lung ventilation Thoracic epidural Cardiac surgery Hyperkalemic periodic paralysis Peri-operative anesthetic management Nephrotic syndrome Cardiopulmonary bypass General anesthesia Atrial septal defect Cor triatriatum dexter Embryologic remnant Right atrial membrane |
| title | Incidental discovery of an unusual right atrial membrane in an adult patient |
| title_full | Incidental discovery of an unusual right atrial membrane in an adult patient |
| title_fullStr | Incidental discovery of an unusual right atrial membrane in an adult patient |
| title_full_unstemmed | Incidental discovery of an unusual right atrial membrane in an adult patient |
| title_short | Incidental discovery of an unusual right atrial membrane in an adult patient |
| title_sort | incidental discovery of an unusual right atrial membrane in an adult patient |
| topic | Epidural block Paravertebral block Post-thoracotomy pain Aortic surgery Bleeding Hypothermia Transfusion Cardiac surgery IABP Intensive care Intra-aortic balloon pump Survey Acute kidney injury Cardiopulmonary bypass Management Blunt trauma Blunt cardiac injury Aortic injury Cesarean section Complete atrio-ventricular septal defect Eisenmenger syndrome Pregnancy Broncho-esophageal fistulae One lung ventilation Thoracic epidural Cardiac surgery Hyperkalemic periodic paralysis Peri-operative anesthetic management Nephrotic syndrome Cardiopulmonary bypass General anesthesia Atrial septal defect Cor triatriatum dexter Embryologic remnant Right atrial membrane |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2012;volume=15;issue=4;spage=309;epage=311;aulast=Aldawoodi |
| work_keys_str_mv | AT nasrinnaldawoodi incidentaldiscoveryofanunusualrightatrialmembraneinanadultpatient AT harendraarora incidentaldiscoveryofanunusualrightatrialmembraneinanadultpatient AT priyaakumar incidentaldiscoveryofanunusualrightatrialmembraneinanadultpatient |