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Year : 2020  |  Volume : 30  |  Issue : 3  |  Page : 171-173

Transesophageal echocardiography reveals a missed right atrial aneurysm in a patient with atrial septal defect and mitral valve prolapse

1 Department of Pediatric Cardiac Anaesthesia, Sri Sathya Sai Sanjeevani International Centre for Child Heart Care and Research, Palwal, Haryana, India
2 Department of Pediatric Cardiac Surgery, Sri Sathya Sai Sanjeevani Research Foundation, Palwal, Haryana, India

Correspondence Address:
Subramanian Chellappan
Sri Sathya Sai Sanjeevani International Centre for Child Heart Care and Research, Baghola, NH 2, Palwal - 121102, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jcecho.jcecho_20_20

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Right atrial (RA) aneurysms are rare entities reported in the literature. Affected patients are usually asymptomatic, but sometimes, they tend to present with arrhythmias or even heart failure if big. They may form a nidus for thrombus formation and subsequent thromboembolic complications. We report a coincidental finding of a RA aneurysm in a 22-year-old female with the atrial septal defect and mitral valve prolapse, causing moderate mitral regurgitation. The aneurysm was detected incidentally on transesophageal echo after anesthetic induction for elective surgery of the primary pathology. The mitral valve was repaired, and the atrial septal defect was closed. The aneurysm was excised in toto and RA wall repaired.

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