title: Surgical repair of a giant congenital right atrial aneurysm: a case report.
abstract: Giant congenital right atrial aneurysms are rare defects of the heart. Though usually asymptomatic, they can be potentially life-threatening. Major risks include heart failure, supraventricular arrhythmias, rupture of the wall of the aneurysm. This defect is usually diagnosed incidentally. It is commonly found when transthoracic echocardiography or chest X-ray is performed. In some cases computed tomography or cardiac magnetic resonance imaging is needed to establish the diagnosis. Potential therapeutic options include surgery, catheter ablation and conservative follow-up. Currently preferred method for correcting this defect is surgical excision of the aneurysm, when surgical indications are met. In this article we describe a successful aneurysmectomy performed on a 16-month old female infant, who at the time of hospitalization presented with severe heart failure and symptoms of cardiac tamponade.
authors.affiliation: Faculty of Medicine Centre of Cardiac Surgery, Vilnius University, Santariskiu g. 2, Vilnius, 08661, Lithuania. karolismd@gmail.com.
authors.forename: Karolis
authors.initials: K
authors.lastname: Jonavicius
authors.affiliation: Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania. arturas.lipnevicius@santa.lt.
authors.forename: Arturas
authors.initials: A
authors.lastname: Lipnevicius
authors.affiliation: Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania. rita.sudikiene@santa.lt.
authors.forename: Rita
authors.initials: R
authors.lastname: Sudikiene
authors.affiliation: Department of Pathology, Forensic Medicine and Pharmacology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania. edvardas.zurauskas@vpc.lt.
authors.forename: Edvardas
authors.initials: E
authors.lastname: Zurauskas
authors.affiliation: Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania. virgilijus.lebetkevicius@santa.lt.
authors.forename: Virgilijus
authors.initials: V
authors.lastname: Lebetkevicius
authors.affiliation: Department of Cardiovascular Medicine, Vilnius University, Vilnius, Lithuania. virgilijus.tarutis@santa.lt.
authors.forename: Virgilijus
authors.initials: V
authors.lastname: Tarutis
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D015150:Echocardiography, Doppler; D005260:Female; D006322:Heart Aneurysm / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D006325:Heart Atria / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007223:Infant; D019028:Magnetic Resonance Imaging, Cine; D014057:Tomography, X-Ray Computed