[Post-traumatic aneurysma spurium of the right atrium].
In a 61 year old male with heart failure and pulmonary congestion the x-ray shows a right paracardial tumor. The patient suffered from a blunt chest trauma 6 years ago. Since that accident he complains about exercise related dyspnea and cardiac arrhythmia with atrial fibrillation. On echocardiography we found a echolucent cystic tumor with a solid center structure surrounded by a thin membrane. Doppler echocardiography revealed a heart cycle dependent flow at its margin. During dextrocardiography rapid opacification only of the peripheral structures of the tumor could be observed. These findings are consistent with a traumatic rupture of the right atrium, and the diagnosis of a posttraumatic aneurysma spurium of the right atrium was established. Surgery confirmed this diagnosis and the aneurysm was extirpated.
Janssen
G
G
Medizinische Klinik II Friedrich-Alexander-Universität Erlangen-Nürnberg.
Kretschmer
S
S
Achenbach
S
S
von der Emde
J
J
Moshage
W
W
Bachmann
K
K
D017541:Aneurysm, False / Q000175:diagnosis* / Q000601:surgery; D004452:Echocardiography; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000601:surgery; D006325:Heart Atria / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D006341:Heart Rupture / Q000175:diagnosis / Q000601:surgery; D006439:Hemodynamics / Q000502:physiology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009200:Myocardial Contraction / Q000502:physiology; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000601:surgery
Posttraumatisches Aneurysma spurium des rechten Vorhofes.