title: Pediatric giant right atrial aneurysm: a case series and review of the literature.
abstract: Giant right atrial aneurysm is a rare form of congenital heart disease with a wide spectrum of clinical presentation varying from asymptomatic patients to those with refractory atrial arrhythmias or severe airway obstruction. Diagnosis is often confused with other causes of right atrial dilation such as Ebstein disease. Because of its rare occurrence and variable clinical presentation, inconsistencies in medical and surgical management strategies exist between centers. We present five cases of giant right atrial aneurysm managed at our institution and discuss the clinical presentation, diagnostic challenges, and medical and surgical management.
authors.affiliation: Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan, Ann Arbor, Mich, USA.
authors.forename: Erika E
authors.initials: EE
authors.lastname: Harder
authors.forename: Richard G
authors.initials: RG
authors.lastname: Ohye
authors.forename: Marc D
authors.initials: MD
authors.lastname: Knepp
authors.forename: Sonal T
authors.initials: ST
authors.lastname: Owens
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D006348:Cardiac Surgical Procedures; D002675:Child, Preschool; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006322:Heart Aneurysm / Q000175:diagnosis* / Q000196:embryology / Q000503:physiopathology / Q000601:surgery*; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000196:embryology / Q000503:physiopathology / Q000601:surgery*; D006330:Heart Defects, Congenital / Q000175:diagnosis* / Q000196:embryology / Q000503:physiopathology / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011237:Predictive Value of Tests; D013997:Time Factors; D016896:Treatment Outcome; D016216:Ultrasonography, Prenatal / Q000379:methods
chemical_list: D000889:Anti-Arrhythmia Agents
keywords: Giant Right Atrial Aneurysm; Infant; Pediatric