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Giant right atrium and subvalvular pulmonary stenosis: A case report of an interesting combination
Author(s) -
Maestrini Viviana,
Birtolo Lucia I.,
Cimino Sara,
Severino Paolo,
Mancone Massimo,
Francone Marco,
Banypersad Sanjay M.,
Ventriglia Flavia,
Tritapepe Luigi,
Miraldi Fabio,
Fedele Francesco
Publication year - 2019
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14311
Subject(s) - medicine , presyncope , cardiology , ventricle , pericardial effusion , tricuspid valve , anasarca , regurgitation (circulation) , constrictive pericarditis , tricuspid stenosis , intracardiac injection , shunt (medical) , radiology , heart rate , blood pressure
A 20‐year‐old Congolese woman presented with presyncope, dyspnea, and anasarca. Past medical history was unremarkable. Echocardiography revealed a rare combination of giant right atrium ( RA ), a dilated and hypertrophied right ventricle, subvalvular pulmonary stenosis (sub PS ), severe tricuspid regurgitation ( TR ), pericardial effusion and what appeared to be a spontaneously closed ventricular septal defect ( VSD ). Cardiac Magnetic Resonance and Cardiac Computed Tomography confirmed the findings excluding the presence of intra‐cardiac and extra‐cardiac shunt and other associated congenital anomalies. The patient underwent sub PS resection, right atrioplasty, and tricuspid annuloplasty. Multimodality approach facilitated the detection of the abnormalities and provided clarity when determining the optimal surgical strategy.