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CASE REPORT
Year : 2020  |  Volume : 6  |  Issue : 1  |  Page : 29-31

An idiopathic giant right atrium aneurysm in old asymptomatic patient


1 Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt
2 Department of Clinical and Experimental Internal Medicine, Cardiology and Angiology Unit, Medical Research Institute, University of Alexandria, Alexandria, Egypt
3 Department of Cardiology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt; Department of Internal Medicine, Michigan State University, East Lansing, Michigan, USA

Correspondence Address:
Dr. Mahmoud Abdelnabi
Department of Clinical and Experimental Internal Medicine, Cardiology and Angiology Unit, Medical Research Institute, University of Alexandria, 165 El-Horeya Rd, Al Ibrahimeyah Qebli Wa Al Hadrah Bahri, Qesm Bab Sharqi, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCA.IJCA_24_19

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Giant right atrial aneurysm is an extremely rare cardiac anomaly that can be seen anytime in human life from childhood to elderly. Many cases have no symptoms, others may develop arrhythmias such as atrial fibrillation (AF), and sometimes, thrombi may develop inside the right atrium with risk of pulmonary embolism as well as paradoxical embolism through a patent foramen ovale. This condition can be caused due to cor pulmonale, right ventricular disease, and tricuspid valve diseases, and in extremely rare cases, if all these causes are excluded, it is considered idiopathic. We report a very rare case of an asymptomatic 62-year-old male with a previous history of chronic AF who was incidentally diagnosed with a giant right atrial aneurysm in a preoperative transthoracic echocardiography. He was asymptomatic and he was managed conservatively based on his request.


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