Naslov
Idiopathic right atrial dilatation and recurrent atrial flutter

Autori
Zaninovic Jurjević, Teodora ; Lanča Bastiančić, Ana ; Brusich, Sandro ; Kovačić, Slavica ; Jurjević, Nikolina ; Zaputović, Luka ; Matana, Ante

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
EuroGUCH 2019. The 10th European Meeting on Adult Congenital Heart Disease / Brida, Margarita ; Budts, Werner ; Roos–Hesselink, Jolien W. - Zagreb : European Society of Cardiology (ESC), 2019

Skup
10th European Meeting on Adult Congenital Heart Disease (EuroGUCH 2019)

Mjesto i datum
Zagreb, Hrvatska, 05.04.2019. - 06.04.2019

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
right atrium, dilatation, atrial flutter, echocardiography

Sažetak
We report a case of a 32-year old male with idiopathic dilatation of right atrium. At the age of 12, right atrial dilatation with mild functional tricuspid regurgitation, without indirect signs of pulmonary hypertension was accidentally diagnosed. Further evaluation was performed in Slovenia and England, and seven years ago continued in our institution. Echocardiogram and magnetic resonance of the heart showed enlargement of right atrium and normal insertion of tricuspid valve, without criteria for Ebstein anomaly. There were no cardiac malformations in his family history, only cases of polycystic kidney disease which did not affect him. During past seven years rare symptomatic relapses of atrial flutter were recorded and a few electrocardioversions were done. In the summer of 2018, episodes of atrial flutter were more frequent, almost every day despite antiarrhythmic therapy. At that time he presented to our institution with palpitations and shortness of breath, without clinical manifestations of heart failure. Electrocardiogram at the admission showed atrial flutter with 2:1 conduction block. Laboratory findings and chest radiogram were without any deviation. After initial assessment we performed successful electrocardioversion. During hospitalization electrophysiology study was done. Typical flutter with two different circles, was diagnosed, and afterwards, at the site of adequate potentials, energy delivery repeatedly interrupted tachycardia, but without securely achieved bidirectional conduction block through the cavotricuspid isthmus. Patient was released in sinus rhythm, with anticoagulant and antiarrhythmic therapy. Five months after the procedure, he is asymptomatic and without recorded arrhythmias.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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