Image in Cardiology
A rare case of congenital aneurysm of the right atrium
Um caso raro de aneurisma congénito da aurícula direita
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"Ancho" => 1800 "Tamanyo" => 290816 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Right coronary artery in left anterior oblique projection at 45°, caudal 10°, showing 60% proximal stenosis and 70% stenosis in the posterolateral branch; (B) left coronary artery in right anterior oblique projection at 30°, caudal 10°, showing no significant lesions but revealing a sewing needle in the left hemithorax; (C) anteroposterior view, 0° 0°, showing magnified image of the needle; (D) thoracic computed tomography (CT), sagittal plane, showing the needle in subpleural position, posterior to the apical segment of the left inferior lobe; (E) thoracic CT, pulmonary window, coronal plane, showing the needle, 40 mm in length, in cranial-caudal orientation; (F) myocardial scintigraphy: after exercise (above) and at rest (below), documenting a lateral perfusion defect with significant reversibility.</p>" ] ] ] "autores" => array:1 [ 0 => 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"https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S217420491400172X?idApp=UINPBA00004E" "url" => "/21742049/0000003300000009/v1_201410030041/S217420491400172X/v1_201410030041/en/main.assets" ] "itemAnterior" => array:20 [ "pii" => "S2174204914002165" "issn" => "21742049" "doi" => "10.1016/j.repce.2014.02.022" "estado" => "S300" "fechaPublicacion" => "2014-09-01" "aid" => "505" "copyright" => "Sociedade Portuguesa de Cardiologia" "documento" => "article" "crossmark" => 0 "licencia" => "http://creativecommons.org/licenses/by-nc-nd/4.0/" "subdocumento" => "sco" "cita" => "Rev Port Cardiol. 2014;33:569-70" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 2753 "formatos" => array:3 [ "EPUB" => 165 "HTML" => 2057 "PDF" => 531 ] ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Image in Cardiology</span>" "titulo" => "Cardiac metastasis from colorectal cancer: To be or not to be…" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "569" "paginaFinal" => "570" ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Metástase cardíaca do cancro colorretal: ser ou não ser…" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1979 "Ancho" => 2500 "Tamanyo" => 300239 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(a) Transthoracic echocardiography, apical 4-chamber view, showing a homogenous ovoid mass; (b) transthoracic echocardiography, subcostal view, showing the mass extending from the inferior vena cava to the right atrium; (c) transesophageal echocardiography, off-axis bicaval view, showing invasion of the inferior vena cava; (d) transesophageal echocardiography, bicaval view, showing the thin attachment of the mass to the right atrial inferoposterior wall.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Daniele Pontillo, Giordano Zampi, Amedeo Pergolini, Vincenzo Polizzi, Denitza Tinti, Paolo Spadaccia" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Daniele" "apellidos" => "Pontillo" ] 1 => array:2 [ "nombre" => "Giordano" "apellidos" => "Zampi" ] 2 => array:2 [ "nombre" => "Amedeo" "apellidos" => "Pergolini" ] 3 => array:2 [ "nombre" => "Vincenzo" "apellidos" => "Polizzi" ] 4 => array:2 [ "nombre" => "Denitza" "apellidos" => "Tinti" ] 5 => array:2 [ "nombre" => "Paolo" "apellidos" => "Spadaccia" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S0870255114001875" "doi" => "10.1016/j.repc.2014.02.022" "estado" => "S300" 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array:6 [ 0 => array:4 [ "nombre" => "Alexandra" "apellidos" => "da Silva Castro" "email" => array:1 [ 0 => "alexecas@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "Nuno" "apellidos" => "Ferreira" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "Ricardo" "apellidos" => "Ferraz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "Nuno" "apellidos" => "Bettencourt" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 4 => array:3 [ "nombre" => "João Carlos" "apellidos" => "Mota" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 5 => array:3 [ "nombre" => "Vasco" "apellidos" => "Gama Ribeiro" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Cardiology Department, Tâmega Sousa Hospital Centre, Penafiel, Portugal" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cardiology Department, Vila Nova de Gaia/Espinho Hospital Centre, Vila Nova de Gaia, Portugal" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Cardiothoracic Surgery Department, Vila Nova de Gaia/Espinho Hospital Centre, Vila Nova de Gaia, Portugal" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Um caso raro de aneurisma congénito da aurícula direita" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 882 "Ancho" => 1660 "Tamanyo" => 157291 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Intraoperative photograph (surgeon's view) revealing the right atrial aneurysm (RAA).</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a 58-year-old hypertensive man referred for a cardiology consultation due to atypical chest pain. The clinical examination was unremarkable. An electrocardiogram demonstrated sinus rhythm and incomplete right bundle branch block. He had an ambulatory echocardiogram that was described as normal. An exercise test was negative for ischemia and showed intermittent complete right bundle branch block. To exclude coronary disease a contrast computed tomography (CT) scan was performed that revealed a saccular aneurysm of the lateral free wall of the right atrium measuring 45 mm×45 mm×43 mm (<a class="elsevierStyleCrossRefs" href="#fig0005">Figures 1 and 2</a>). There was no evidence of coronary disease. Given the CT findings, transthoracic echocardiography was repeated and revealed a cystic, pulsatile structure in continuity with the free wall of the right atrium through a narrow neck (<a class="elsevierStyleCrossRef" href="#fig0015">Figure 3</a>) permitting low-speed two-way flow, subsequently confirmed by injection of Sonovue<span class="elsevierStyleSup">®</span> contrast. No cardiac thrombi were visualized. The tricuspid valvular apparatus and right ventricle were morphologically normal, as was biventricular systolic function. Similar findings were visualized on the transesophageal echocardiogram.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Right atrium aneurysm is a rare congenital heart malformation. It occurs in all age groups. Supraventricular arrhythmias and embolic events are the most common reported symptoms. Major complications such as rhythm disturbances, thromboembolic events and aneurysm rupture may occur. Although the best treatment, particularly in asymptomatic patients, has not been established, the patient was started on oral anticoagulation and proposed for surgical aneurysmectomy. He underwent successful resection of the aneurysm (<a class="elsevierStyleCrossRef" href="#fig0020">Figure 4</a>) with an uneventful post-operative period.</p><elsevierMultimedia ident="fig0020"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Ethical disclosures</span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Protection of human and animal subjects</span><p id="par0015" class="elsevierStylePara elsevierViewall">The authors declare that no experiments were performed on humans or animals for this study.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Confidentiality of data</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they have followed the protocols of their work center on the publication of patient data.</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Right to privacy and informed consent</span><p id="par0025" class="elsevierStylePara elsevierViewall">The authors have obtained the written informed consent of the patients or subjects mentioned in the article. The corresponding author is in possession of this document.</p></span></span><span id="sec0135" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conflicts of interest</span><p id="par0330" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:3 [ "identificador" => "sec0005" "titulo" => "Ethical disclosures" "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0010" "titulo" => "Protection of human and animal subjects" ] 1 => array:2 [ "identificador" => "sec0015" "titulo" => "Confidentiality of data" ] 2 => array:2 [ "identificador" => "sec0020" "titulo" => "Right to privacy and informed consent" ] ] ] 1 => array:2 [ "identificador" => "sec0135" "titulo" => "Conflicts of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2014-01-19" "fechaAceptado" => "2014-02-02" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: da Silva Castro A, Ferreira N, Ferraz R, Bettencourt N, Mota JC, Gama Ribeiro V. Um caso raro de aneurisma congénito da aurícula direita 2014. Rev Port Cardiol. 2014;33:571–572.</p>" ] ] "multimedia" => array:4 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1674 "Ancho" => 1660 "Tamanyo" => 311380 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Computed tomography (CT) scan, axial view. LA: left atrium; LV: left ventricle; RA: right atrium; RAA: right atrial aneurysm; RV: right ventricle.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1674 "Ancho" => 1660 "Tamanyo" => 207348 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">CT scan: three-dimensional reconstruction of the right atrial aneurysm (RAA).</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1125 "Ancho" => 1660 "Tamanyo" => 126258 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Transthoracic echocardiogram, apical 4-chamber view. LA: left atrium; LV: left ventricle; RA: right atrium; RAA: right atrial aneurysm; RV: right ventricle.</p>" ] ] 3 => array:7 [ "identificador" => "fig0020" "etiqueta" => "Figure 4" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr4.jpeg" "Alto" => 882 "Ancho" => 1660 "Tamanyo" => 157291 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Intraoperative photograph (surgeon's view) revealing the right atrial aneurysm (RAA).</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21742049/0000003300000009/v1_201410030041/S2174204914002177/v1_201410030041/en/main.assets" "Apartado" => array:4 [ "identificador" => "28321" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image in Cardiology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21742049/0000003300000009/v1_201410030041/S2174204914002177/v1_201410030041/en/main.pdf?idApp=UINPBA00004E&text.app=https://revportcardiol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204914002177?idApp=UINPBA00004E" ]
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| 2020 March | 37 | 7 | 44 |
| 2020 February | 35 | 16 | 51 |
| 2020 January | 38 | 8 | 46 |
| 2019 December | 25 | 3 | 28 |
| 2019 November | 17 | 3 | 20 |
| 2019 October | 37 | 6 | 43 |
| 2019 September | 27 | 5 | 32 |
| 2019 August | 14 | 6 | 20 |
| 2019 July | 41 | 11 | 52 |
| 2019 June | 15 | 7 | 22 |
| 2019 May | 35 | 8 | 43 |
| 2019 April | 12 | 24 | 36 |
| 2019 March | 9 | 9 | 18 |
| 2019 February | 29 | 7 | 36 |
| 2019 January | 30 | 6 | 36 |
| 2018 December | 14 | 9 | 23 |
| 2018 November | 60 | 7 | 67 |
| 2018 October | 117 | 27 | 144 |
| 2018 September | 37 | 11 | 48 |
| 2018 August | 36 | 6 | 42 |
| 2018 July | 44 | 3 | 47 |
| 2018 June | 41 | 5 | 46 |
| 2018 May | 38 | 12 | 50 |
| 2018 April | 51 | 6 | 57 |
| 2018 March | 39 | 11 | 50 |
| 2018 February | 38 | 0 | 38 |
| 2018 January | 47 | 7 | 54 |
| 2017 December | 37 | 5 | 42 |
| 2017 November | 18 | 9 | 27 |
| 2017 October | 27 | 14 | 41 |
| 2017 September | 26 | 8 | 34 |
| 2017 August | 32 | 15 | 47 |
| 2017 July | 29 | 13 | 42 |
| 2017 June | 46 | 10 | 56 |
| 2017 May | 42 | 5 | 47 |
| 2017 April | 25 | 0 | 25 |
| 2017 March | 39 | 8 | 47 |
| 2017 February | 45 | 4 | 49 |
| 2017 January | 32 | 2 | 34 |
| 2016 December | 30 | 5 | 35 |
| 2016 November | 21 | 3 | 24 |
| 2016 October | 30 | 5 | 35 |
| 2016 September | 35 | 3 | 38 |
| 2016 August | 7 | 1 | 8 |
| 2016 July | 14 | 4 | 18 |
| 2016 June | 16 | 3 | 19 |
| 2016 May | 18 | 3 | 21 |
| 2016 April | 30 | 1 | 31 |
| 2016 March | 33 | 10 | 43 |
| 2016 February | 39 | 16 | 55 |
| 2016 January | 40 | 8 | 48 |
| 2015 December | 37 | 4 | 41 |
| 2015 November | 37 | 5 | 42 |
| 2015 October | 39 | 9 | 48 |
| 2015 September | 33 | 7 | 40 |
| 2015 August | 31 | 8 | 39 |
| 2015 July | 22 | 3 | 25 |
| 2015 June | 11 | 1 | 12 |
| 2015 May | 20 | 3 | 23 |
| 2015 April | 24 | 7 | 31 |
| 2015 March | 14 | 3 | 17 |
| 2015 February | 22 | 4 | 26 |
| 2015 January | 29 | 3 | 32 |
| 2014 December | 34 | 11 | 45 |
| 2014 November | 28 | 8 | 36 |
| 2014 October | 60 | 15 | 75 |
Show all
