PMID- 24765275
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20140425
LR  - 20211021
IS  - 2039-7275 (Print)
IS  - 2039-7283 (Electronic)
IS  - 2039-7275 (Linking)
VI  - 1
IP  - 1
DP  - 2011 Mar 29
TI  - Massively dilated right atrium masquerading as a mediastinal tumor.
PG  - e20
LID - 10.4081/cp.2011.e20 [doi]
LID - e20
AB  - 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.
FAU - Schroeter, Thomas
AU  - Schroeter T
AD  - Department of Cardiac Surgery, University of Leipzig, Heart Center;
FAU - Doll, Nicolas
AU  - Doll N
AD  - Department of Cardiac Surgery, Sana Heart Center Stuttgart, Germany.
FAU - Subramanian, Sreekumar
AU  - Subramanian S
AD  - Department of Cardiac Surgery, University of Leipzig, Heart Center;
FAU - Mohr, Friedrich W
AU  - Mohr FW
AD  - Department of Cardiac Surgery, University of Leipzig, Heart Center;
FAU - Borger, Michael A
AU  - Borger MA
AD  - Department of Cardiac Surgery, University of Leipzig, Heart Center;
LA  - eng
PT  - Case Reports
DEP - 20110414
PL  - Switzerland
TA  - Clin Pract
JT  - Clinics and practice
JID - 101563282
PMC - PMC3981207
OTO - NOTNLM
OT  - mediastinal tumor
OT  - right atrium
OT  - tricuspid valve insufficiency.
EDAT- 2011/03/29 00:00
MHDA- 2011/03/29 00:01
PMCR- 2011/04/14
CRDT- 2014/04/26 06:00
PHST- 2011/03/13 00:00 [received]
PHST- 2011/04/06 00:00 [accepted]
PHST- 2014/04/26 06:00 [entrez]
PHST- 2011/03/29 00:00 [pubmed]
PHST- 2011/03/29 00:01 [medline]
PHST- 2011/04/14 00:00 [pmc-release]
AID - cp.2011.e20 [pii]
AID - 10.4081/cp.2011.e20 [doi]
PST - epublish
SO  - Clin Pract. 2011 Apr 14;1(1):e20. doi: 10.4081/cp.2011.e20. eCollection 2011 Mar 
      29.