Journal of Cardiothoracic and Vascular Anesthesia 32 (2018) 796–800 Contents lists available at ScienceDirect Journal of Cardiothoracic and Vascular Anesthesia journal homepage: www.jcvaonline.com Case Report Intraoperative Transesophageal Echocardiographic Findings in Surgical Resection of a Giant Right Atrial Diverticulum That Severely Compressed the Right Ventricle Shihoko Iwata, MD, Minoru Nomura, MD, Makoto Ozaki, MD Department of Anesthesiology, Tokyo Women’s Medical University Hospital, Tokyo, Japan Key Words: transesophageal echoardiography; right atrial diverticulum; congenital heart disease; cardiac surgery A RIGHT ATRIAL (RA) diverticulum is a rare congenital for almost 3 decades, she experienced paroxysmal atrial malformation characterized by extraordinary cardiac enlarge- ﬁbrillation about 2 months before presentation to the authors’ 1–5 ment that is often incidentally diagnosed by cardiac imaging. department. The etiology and optimal treatment of an RA diverticulum Preoperative computed tomography showed a giant RA remain unclear because patients cases are asymptomatic. diverticulum (6.3 10.8 12.2 cm) originating from the Although surgical resection is indicated for symptomatic free wall of the RA and communicating through a wide neck. patients, there have been no reports of intraoperative transeso- The right ventricle (RV) and tricuspid valve (TV) complex phageal echocardiography (TEE) of an RA diverticulum. were severely compressed by the
Journal of Cardiothoracic and Vascular Anesthesia – Elsevier
Published: Apr 1, 2018
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