[Idiopathic bi-auricular dilatation manifested by total cardiac failure. Apropos of a case confirmed by nuclear magnetic resonance].
Idiopathic bilateral atrial dilatation is extremely rare. We are reporting a case in a 79 year-old patient, presenting a picture of total cardiac insufficiency. The positive diagnosis was established by bi-dimensional sonography and right angiography. Nuclear magnetic resonance confirmed the diagnosis and specified the size of the various cavities. From a rhythm standpoint, there was an atrial fibrillation without conduction disorders. The main factor of the cardiac insufficiency seems to be a low atrio-ventricular output, since the valvular insufficiency due to annular dilatation is only a secondary factor. The etiology is unknown, but a congenital origin seems most probable without excluding the possibility of an acquired structural disorder.
Weiss
J B
JB
Service de Cardiologie, Clinique Saint-Joseph, Colmar.
Hanssen
M
M
Germain
P
P
Hanssen
B
B
Monassier
J P
JP
Sacrez
A
A
D000368:Aged; D006332:Cardiomegaly / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D014463:Ultrasonography
Dilatation idiopathique bi-auriculaire révélée par une insuffisance cardiaque globale. A propos d'un cas confirmé par la résonance magnétique nucléaire.