• Hao-Peng Li, Xian-Wang Ye, and Hai-Tao Wang.
• Department of Radiology, Ningbo Women and Children's Hospital.
• Medicine (Baltimore). 2020 Apr 1; 99 (16): e19748.

IntroductionRight atrial aneurysm (RAA) is a rare congenital heart disease (CHD) that usually shows no symptom and is discovered occasionally. This paper introduces the clinical and imaging data obtained in 2 RAA patients and presents a related literature review with the aim of increasing understanding of this disease.Patient FocusOne case showed chest distress, while the other showed symptoms on physical examination and positive signs.DiagnosisBoth of these 2 cases were diagnosed with RAA based on ultrasonography, computed tomography angiography (CTA), and enhanced magnetic resonance imaging (MRI) examinations.InterventionsOne patient was orally administered warfarin anticoagulant therapy, while the other was given amiodarone to control arrhythmia as well as warfarin anticoagulant therapy.ResultsThe clinical symptoms of both cases were not aggravated.ConclusionsRAA is a rare cardiac anomaly that can induce severe complications, and it is mainly diagnosed based on imaging examinations. Conservative treatment and regular imaging monitoring are recommended for asymptomatic patients with no high-risk factors, while surgical treatment should be performed in symptomatic patients with high-risk factors.

9 keywords...

hide…