title: Atypical And Severe Enlargement Of Right Atrium.
abstract: A 76 year-old woman was admitted to the Emergency Department for recent-onset dyspnea and cough. The electrocardiogram was considered inconclusive. A thoracic X-ray showed global cardiac profile enlargement. Computed tomography, acutely performed in the clinical suspicion of atypical pneumonia/myocarditis or pericardial effusion, showed cardiac enlargement especially of the right chambers. In order to investigate Ebstein's anomaly, pericardial cysts, tumors or other conditions of the right heart a simple trans-thoracic echocardiogram was performed. Four chambers view showed a giant right atrium aneurysm with moderate tricuspid regurgitation without stenosis or typical Ebstein's echocardiographic pattern.
authors.affiliation: Parma University Hospital, Parma, Italy. carmines84@yahoo.it.
authors.forename: Carmine
authors.initials: C
authors.lastname: Siniscalchi
authors.forename: Pietro
authors.initials: P
authors.lastname: Rossetti
authors.forename: Anna
authors.initials: A
authors.lastname: Rocci
authors.forename: Pasquale
authors.initials: P
authors.lastname: Rubino
authors.forename: Manuela
authors.initials: M
authors.lastname: Basaglia
authors.forename: Nicola
authors.initials: N
authors.lastname: Gaibazzi
authors.forename: Roberto
authors.initials: R
authors.lastname: Quintavalla
mesh_terms: D000368:Aged; D006332:Cardiomegaly / Q000000981:diagnostic imaging*; D004437:Ebstein Anomaly / Q000000981:diagnostic imaging; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000473:pathology*; D006801:Humans
keywords: transthoracic echocardiography, right atrium aneurysm, dyspnea