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Date Published:
03/11/2020
Abstract Views: 170
Views PDF: 254
Views PDF: 254
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Section
Research Article
How to Cite
Dang Quang Huy, & Nguyen Minh Ngoc. (2020). Túi thừa nhĩ phải. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 27, 29-36. https://doi.org/10.47972/vjcts.v27i.45
Túi thừa nhĩ phải
Main Article Content
Abstract
A total of 32 cases were reported, with 28 cases of single RA diverticulum and 4 cases of multiple RA diverticula. Most of the patients were males. 18.75% of patients was asymptomatic. The popular symptoms were angina, fatigue, palpitations, and arrythmias. One sudden death due to arrythmia was reported. In most cases. the diverticulum was originated from the free wall of the RA and may cause compression to other related cardiac structures. The methods of treatment included: surgical resection of the diverticulum, percutaneous ablation for atrial arrythmias, hybrid procedure, or noninvasive medical treatment.
RA diverticulum was a rare congenital anomaly, usually accompanied by atrial arrythmias. Surgical resection of the diverticulum was indicated in most cases, except patients with pre-excitation syndrome and WPW syndrome. With atrial arrythmias due to re-entry circuits should be managed with percutaneous ablation or hybrid procedure.
Article Details
Keywords
Right atrial diverticulum, right atrial aneurysm, right atrial dilatation, atrial arrythmias, pre-excitation syndrome
References
1. Agematsu, K., et al., Remarkable giant right atrial diverticulum in asymptomatic patient. Interact Cardiovasc Thorac Surg, 2009. 8(6): p. 705-7.
2. Funabashi, N., T. Sekine, and I. Komuro, Idiopathic diverticulum-type enlargement of the right atrium demonstrated by multislice computed tomography. Heart, 2006.
92(8): p. 1144.
3. Kurian, K.C., M. Nguyen, and N. Wilke, Images in cardiology: right atrial diverticulum--a rare cause of atrial fibrillation. Clin Cardiol, 2007. 30(12): p. 631.
4. Kobza, R., et al., Enlargement of the right atrium--diverticulum or aneurysm? Eur J Echocardiogr, 2003. 4(3): p. 223-5.
5. Hasdemir, C., et al., Giant right atrial diverticulum associated with Wolff-Parkinson- White syndrome. J Cardiovasc Electrophysiol, 2006. 17(4): p. 443.
6. Shah, K. and K. Walsh, Giant right atrial diverticulum: an unusual cause of Wolff- Parkinson-White syndrome. British heart journal, 1992. 68(1): p. 58-59.
7. Varghese, P.J., et al., Multiple saccular congenital aneurysms of the atria causing persistent atrial tachyarrhythmia in an infant. Report of a case successfully treated by surgery. Pediatrics, 1969. 44(3): p. 429-33.
8. Aggarwal, N., et al., Right Atrial Diverticulosis and Early-onset Arrhythmia: Rare Cause of Incessant Neonatal Arrhythmia. Indian Pediatr, 2017. 54(6): p. 503-504.
9. Miyamura, H., et al., Successful surgical treatment of incessant automatic atrial tachycardia with atrial aneurysm. Ann Thorac Surg, 1990. 50(3): p. 476-8.
10. Vilacosta, I., et al., Right atrial diverticulum and hypertrophic cardiomyopathy. Eur Heart J, 1993. 14(5): p. 721-2.
11. Borgohain, S., et al., Case of single right atrial diverticulum and review of etiology and management. Asian Cardiovasc Thorac Ann, 2013. 21(5): p. 592-5.
12. Tomar, M., et al., Giant congenital diverticulum of the right atrium. Indian Heart J, 2008. 60(4): p. 359-62.
13. Morishita, Y., et al., Multiple diverticula of the right atrium. Am Heart J, 1990. 120(5): p. 1225-7.
14. Hayashi, T., et al., Ventricular tachycardia associated with a giant right atrial diverticulum. J Am Coll Cardiol, 2013. 62(24): p. 2341.
15. Hocini, M., et al., Noninvasive electrocardiomapping facilitates previously failed ablation of right appendage diverticulum associated life-threatening accessory pathway. J Cardiovasc Electrophysiol, 2013. 24(5): p. 583-5.
16. Campbell, R.M., et al., Right atrial diverticulum presenting as Wolff-Parkinson- White syndrome. Pacing Clin Electrophysiol, 1992. 15(8): p. 1101-4.
17. Gaita, F., et al., Catheter ablation in a patient with a congenital giant right atrial diverticulum presented as Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol, 1999. 22(2): p. 382-5.
18. Morrow, A.G. and D.M. Behrendt, Congenital aneurysm (diverticulum) of the right atrium. Clinical manifestations and results of operative treatment. Circulation, 1968. 38(1): p. 124-8.
19. Masuda, S., et al., Surgical treatment of congenital right atrial aneurysm in an adult patient. Jpn J Thorac Cardiovasc Surg, 2004. 52(5): p. 254-6.
20. Staubach, P., [Large right atrial aneurysm: rare cause of recurrent pulmonary embolism]. Z Kardiol, 1998. 87(11): p. 894-9.
21. Kinsella, A., et al., Giant right atrial aneurysm. Interact Cardiovasc Thorac Surg,
2019. 28(4): p. 645-646.
22. Stefil, M. and S. Stefil, Late presentation of right atrial diverticulum: surgical intervention might not be imperative. Eur Heart J Cardiovasc Imaging, 2019.
23. Iwata, S., M. Nomura, and M. Ozaki, Intraoperative Transesophageal Echocardiographic Findings in Surgical Resection of a Giant Right Atrial Diverticulum That Severely Compressed the Right Ventricle. J Cardiothorac Vasc Anesth, 2018. 32(2): p. 796-800.
24. Yuan, G., et al., Compressive giant right atrial diverticulum. Eur Heart J Cardiovasc Imaging, 2016. 17(9): p. 1065.
25. Sato, Y., et al., Giant right atrial diverticulum with thrombus formation. Asian Cardiovasc Thorac Ann, 2015. 23(3): p. 314-6.
26. Kuhn, A., et al., Giant right atrial aneurysm in a symptomatic adult-a rare congenital malformation. Eur Heart J, 2006. 27(20): p. 2375.
27. Streb, W., et al., [Right atrial diverticulum in an adult patient]. Kardiol Pol, 2007. 65(9): p. 1090-3.
28. Sanchez-Brotons, J.A., et al., Giant right atrial diverticulum: utility of contrast- enhanced ultrasound. Rev Esp Cardiol (Engl Ed), 2013. 66(3): p. 222-3.
29. Binder, T.M., et al., Congenital malformations of the right atrium and the coronary sinus: an analysis based on 103 cases reported in the literature and two additional cases. Chest, 2000. 117(6): p. 1740-8.
30. Patterson-Kane, J.C. and L.R. Harrison, Giant right atrial diverticulum in a foal. J Vet Diagn Invest, 2002. 14(4): p. 335-7.
2. Funabashi, N., T. Sekine, and I. Komuro, Idiopathic diverticulum-type enlargement of the right atrium demonstrated by multislice computed tomography. Heart, 2006.
92(8): p. 1144.
3. Kurian, K.C., M. Nguyen, and N. Wilke, Images in cardiology: right atrial diverticulum--a rare cause of atrial fibrillation. Clin Cardiol, 2007. 30(12): p. 631.
4. Kobza, R., et al., Enlargement of the right atrium--diverticulum or aneurysm? Eur J Echocardiogr, 2003. 4(3): p. 223-5.
5. Hasdemir, C., et al., Giant right atrial diverticulum associated with Wolff-Parkinson- White syndrome. J Cardiovasc Electrophysiol, 2006. 17(4): p. 443.
6. Shah, K. and K. Walsh, Giant right atrial diverticulum: an unusual cause of Wolff- Parkinson-White syndrome. British heart journal, 1992. 68(1): p. 58-59.
7. Varghese, P.J., et al., Multiple saccular congenital aneurysms of the atria causing persistent atrial tachyarrhythmia in an infant. Report of a case successfully treated by surgery. Pediatrics, 1969. 44(3): p. 429-33.
8. Aggarwal, N., et al., Right Atrial Diverticulosis and Early-onset Arrhythmia: Rare Cause of Incessant Neonatal Arrhythmia. Indian Pediatr, 2017. 54(6): p. 503-504.
9. Miyamura, H., et al., Successful surgical treatment of incessant automatic atrial tachycardia with atrial aneurysm. Ann Thorac Surg, 1990. 50(3): p. 476-8.
10. Vilacosta, I., et al., Right atrial diverticulum and hypertrophic cardiomyopathy. Eur Heart J, 1993. 14(5): p. 721-2.
11. Borgohain, S., et al., Case of single right atrial diverticulum and review of etiology and management. Asian Cardiovasc Thorac Ann, 2013. 21(5): p. 592-5.
12. Tomar, M., et al., Giant congenital diverticulum of the right atrium. Indian Heart J, 2008. 60(4): p. 359-62.
13. Morishita, Y., et al., Multiple diverticula of the right atrium. Am Heart J, 1990. 120(5): p. 1225-7.
14. Hayashi, T., et al., Ventricular tachycardia associated with a giant right atrial diverticulum. J Am Coll Cardiol, 2013. 62(24): p. 2341.
15. Hocini, M., et al., Noninvasive electrocardiomapping facilitates previously failed ablation of right appendage diverticulum associated life-threatening accessory pathway. J Cardiovasc Electrophysiol, 2013. 24(5): p. 583-5.
16. Campbell, R.M., et al., Right atrial diverticulum presenting as Wolff-Parkinson- White syndrome. Pacing Clin Electrophysiol, 1992. 15(8): p. 1101-4.
17. Gaita, F., et al., Catheter ablation in a patient with a congenital giant right atrial diverticulum presented as Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol, 1999. 22(2): p. 382-5.
18. Morrow, A.G. and D.M. Behrendt, Congenital aneurysm (diverticulum) of the right atrium. Clinical manifestations and results of operative treatment. Circulation, 1968. 38(1): p. 124-8.
19. Masuda, S., et al., Surgical treatment of congenital right atrial aneurysm in an adult patient. Jpn J Thorac Cardiovasc Surg, 2004. 52(5): p. 254-6.
20. Staubach, P., [Large right atrial aneurysm: rare cause of recurrent pulmonary embolism]. Z Kardiol, 1998. 87(11): p. 894-9.
21. Kinsella, A., et al., Giant right atrial aneurysm. Interact Cardiovasc Thorac Surg,
2019. 28(4): p. 645-646.
22. Stefil, M. and S. Stefil, Late presentation of right atrial diverticulum: surgical intervention might not be imperative. Eur Heart J Cardiovasc Imaging, 2019.
23. Iwata, S., M. Nomura, and M. Ozaki, Intraoperative Transesophageal Echocardiographic Findings in Surgical Resection of a Giant Right Atrial Diverticulum That Severely Compressed the Right Ventricle. J Cardiothorac Vasc Anesth, 2018. 32(2): p. 796-800.
24. Yuan, G., et al., Compressive giant right atrial diverticulum. Eur Heart J Cardiovasc Imaging, 2016. 17(9): p. 1065.
25. Sato, Y., et al., Giant right atrial diverticulum with thrombus formation. Asian Cardiovasc Thorac Ann, 2015. 23(3): p. 314-6.
26. Kuhn, A., et al., Giant right atrial aneurysm in a symptomatic adult-a rare congenital malformation. Eur Heart J, 2006. 27(20): p. 2375.
27. Streb, W., et al., [Right atrial diverticulum in an adult patient]. Kardiol Pol, 2007. 65(9): p. 1090-3.
28. Sanchez-Brotons, J.A., et al., Giant right atrial diverticulum: utility of contrast- enhanced ultrasound. Rev Esp Cardiol (Engl Ed), 2013. 66(3): p. 222-3.
29. Binder, T.M., et al., Congenital malformations of the right atrium and the coronary sinus: an analysis based on 103 cases reported in the literature and two additional cases. Chest, 2000. 117(6): p. 1740-8.
30. Patterson-Kane, J.C. and L.R. Harrison, Giant right atrial diverticulum in a foal. J Vet Diagn Invest, 2002. 14(4): p. 335-7.
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