PDF(Pubmed)
Abstract：
UNASSIGNED: The right atrial aneurysm is a rare cardiac malformation of unknown origin. It is typically asymptomatic but can occasionally lead to life-threatening and serious complications.
UNASSIGNED: We present a case of a right atrial aneurysm in an eight-year-old child who experienced complications including rupture of the atrial aneurysm, thrombosis, and recurrent large pericardial effusions over a one-month period. Following surgical treatment, the child had a favorable prognosis.
UNASSIGNED: A congenital right atrial aneurysm may manifest as either a widespread enlargement of the right atrium or a localized, smaller sac-like protrusion. In the latter case, diagnosis can be challenging to confirm through transthoracic echocardiography alone, and may require a cardiac computed tomography angiography examination for a definitive diagnosis. For patients experiencing recurrent large volumes of bloody pericardial effusion within one month, and exhibiting no atrial enlargement but showing abnormalities of the atrial wall in echocardiography, it is important to be vigilant about the potential for atrial aneurysm rupture in the heart. Timely treatment is essential to prevent the progression of the condition, which could otherwise result in a poor prognosis.
UNASSIGNED: We present a case of a right atrial aneurysm in an eight-year-old child who experienced complications including rupture of the atrial aneurysm, thrombosis, and recurrent large pericardial effusions over a one-month period. Following surgical treatment, the child had a favorable prognosis.
UNASSIGNED: A congenital right atrial aneurysm may manifest as either a widespread enlargement of the right atrium or a localized, smaller sac-like protrusion. In the latter case, diagnosis can be challenging to confirm through transthoracic echocardiography alone, and may require a cardiac computed tomography angiography examination for a definitive diagnosis. For patients experiencing recurrent large volumes of bloody pericardial effusion within one month, and exhibiting no atrial enlargement but showing abnormalities of the atrial wall in echocardiography, it is important to be vigilant about the potential for atrial aneurysm rupture in the heart. Timely treatment is essential to prevent the progression of the condition, which could otherwise result in a poor prognosis.
摘要：
■右心房动脉瘤是一种罕见的不明原因的心脏畸形。它通常是无症状的，但偶尔会导致危及生命和严重的并发症。
■我们介绍了一个8岁儿童的右心房动脉瘤，该儿童出现了包括心房动脉瘤破裂在内的并发症，血栓形成,在一个月内反复出现大量心包积液。手术治疗后,患儿预后良好.
■先天性右心房动脉瘤可能表现为右心房广泛扩张或局部扩张，较小的囊状突起。在后一种情况下，仅通过经胸超声心动图进行诊断可能具有挑战性，并且可能需要进行心脏计算机断层扫描血管造影检查以进行明确诊断。对于在一个月内反复出现大量血性心包积液的患者，在超声心动图中没有显示心房扩大，但显示心房壁异常，重要的是要警惕心房动脉瘤破裂的可能性。及时治疗对于防止病情进展至关重要，否则可能导致不良预后。
■我们介绍了一个8岁儿童的右心房动脉瘤，该儿童出现了包括心房动脉瘤破裂在内的并发症，血栓形成,在一个月内反复出现大量心包积液。手术治疗后,患儿预后良好.
■先天性右心房动脉瘤可能表现为右心房广泛扩张或局部扩张，较小的囊状突起。在后一种情况下，仅通过经胸超声心动图进行诊断可能具有挑战性，并且可能需要进行心脏计算机断层扫描血管造影检查以进行明确诊断。对于在一个月内反复出现大量血性心包积液的患者，在超声心动图中没有显示心房扩大，但显示心房壁异常，重要的是要警惕心房动脉瘤破裂的可能性。及时治疗对于防止病情进展至关重要，否则可能导致不良预后。
