Register
Forgot your password?

Successful surgical treatment of a giant aneurysm of the auricle of the right atrium in a patient with an intrathoracic form of sarcoidosis

Authors: Chetyrev S.N., Titov D.A., Boldyreva K.M., Penyaeva E.V., Gyulmamedova S.M.

Company: Bakoulev National Medical Research Center for Cardiovascular Surgery, Moscow, Russian Federation

For correspondence:  Sign in or register.

Type:  Clinical Cases


DOI: https://doi.org/10.24022/1997-3187-2025-19-1-98-104

For citation: Chetyrev S.N., Titov D.A., Boldyreva K.M., Penyaeva E.V., Gyulmamedova S.M. Successful surgical treatment of a giant aneurysm of the auricle of the right atrium in a patient with an intrathoracic form of sarcoidosis. Creative Cardiology. 2025; 19 (1): 98–104 (in Russ.). DOI: 10.24022/1997-3187-2025-19-1-98-104

Received / Accepted:  10.02.2025 / 24.02.2025

Keywords: aneurysm right atrium appendage congenital right atrial anomaly atrial flutter echocardiography cardiac multislice computed tomography intrathoracic sarcoidosis



Subscribe 🔒

 

Abstract

Aneurysm right atrium appendage (ARAA) is an extremely rare anomaly of the heart. According to the literature, at the moment, several dozen cases of this pathology have been described in the world. Due to the unclear etiology, there is still no standard treatment method. Complications in the form of thrombosis of the ARAA lumen and episodes of rupture of the aneurysm wall are an absolute indication for surgical intervention. In this article, we report on a 32-year-old young patient with a giant ARAA, an intrathoracic form of sarcoidosis and atrial flutter that is not amenable to conservative therapy and endovascular treatment. ARAA was diagnosed, using radiological examination methods and surgically removed, using cardiopulmonary bypass (CBP). The role of CT and MRI of the heart was very important for the exclusion of the cardiac form of sarcoidosis and helped in determining the boundary of resection and predicting the volume of the residual cavity of the right atrium.

References

  1. Barberato S.H., Barberato M.F.A., Ávila B.M., Perretto S., Blume L.R.G., Chamma Neto M. Aneurysm of the right atrial appendage. Arq. Bras. Cardiol. 2002; 78 (2) 239–241. DOI: 10.1590/S0066-782X2002000200013
  2. Amiragov R.I., Chetyrev S.N., Babenko S.I., Muratov R.M. The role of the pleuropericardial “Window” in the development of postcardiotomy syndrome in patients with isolated aortic valve pathology. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2022; 23 (S3): 21 (in Russ.).
  3. Golukhova E.Z. Report on the scientific and clinical activity of Bakoulev National Medical Research Center for Cardiovascular Surgery for 2023 and development prospects. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2024; 25 (Special edition): 5–141 (in Russ.). DOI: 10.24022/1810-0694-2024-25S
  4. Abdalla H. Ruptured aneurysm of right auricle. Br. Med. J. 1947; 1 (4497): 355. DOI: 10.1136/bmj.1.4497.355-c
  5. Kim A.I. Idiopathic dilation of the right atrium. Cardiovascular Surgery. 2012; 1: 81–82 (in Russ.).
  6. Podzolkov V.P., Cheban V.N., Kokshenev I.V., Katsadze N.G., Serov R.A. Congenital giant aneurysm of the right atrium. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2012; 4: 44–47 (in Russ.).
  7. Boсkeria L.A, Svobodov A.A, Tumanyan M.R., Chvamaniya A.A., Alekhina M.A., Serov R.A. et al. Idiopathic dilatation of right atrium: experience of surgical treatment in children in A.N. Bakoulev Center for Cardiovascular Surgery. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2015; 57 (4): 46–51 (in Russ.).
  8. Miranda J., Villalobo D.M., Alfieri N., Contreras B., Vergara G. Prenatal diagnosis of a right atrial appendage aneurysm: case report and review of the literature. Am. J. Perinatol. Rep. 2024; 14 (02): e170–e176. DOI: 10.1055/s-0044-1787066
  9. Yue J., Wang Q., Liu B., Zhou L. A giant right atrial appendage aneurysm in an infant: A case report. Echocardiography. 2022; 39 (5): 745– 748. DOI: 10.1111/echo.15350
  10. Guaricci A.I., Tarantini G., Basso C., Corbetti F., Rubino M., Ieva R. et al. Images in cardiovascular medicine. Giant aneurysm of the right atrial appendage in a 39-year-old woman. Circulation. 2007; 115 (7): e194–e196. DOI: 10.1161/CIRCULATIONAHA.106.651976
  11. Chuchalin A.G., Avdeev S.N., Aisanov Z.R., Baranova O.P., Borisov S.E., Geppe N.A. et al. Sarcoidosis: federal clinical guidelines for diagnosis and treatment. Pulmonologiya. 2022; 32 (6): 806–833 (in Russ.). DOI: 10.18093/0869-0189-2022-32-6-806-833
  12. Aitken M., Chan M.V., Urzua Fresno C., Farrell A., Islam N., McInnes M.D.F. et al. Diagnostic accuracy of cardiac MRI versus FDG PET for cardiac sarcoidosis: a systematic review and meta-analysis. Radiology. 2022; 304 (3): 566–579. DOI: 10.1148/radiol.213170
  13. Golukhova E.Z., Aleksandrova S.A., Glazkova E.Yu., Bulaeva N.I., Blagova O.V., Dorofeev A.V. et al. Cardiac magnetic resonance imaging in the diagnostics of COVID-19 complications. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2023; 24 (4): 368–380 (in Russ.). DOI: 10.24022/1810-0694-2023-24-4-368-380
  14. Tunks R.D., Malysz J., Clark J.B. Neonatal management of a giant right atrial appendage aneurysm. Circulation. 2015; 132 (19): e226–228. DOI: 10.1161/CIRCULATIONAHA.115.017123
  15. Toneev E.A., Pikin O.V., Martynov A.A., Firstov A.A. Surgical and multimodality treatment of patients with cancer of the thoracic esophagus in the regional oncology center. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2023; 65 (5): 579–588 (in Russ.). DOI: 10.24022/0236-2791-2023-65-5-579-588
  16. Merzlyakov V.Yu., Skopin A.I., Krivenkova E.M., Salomov M.A. Surgical treatment of postinfarction left ventricle aneurysms on a beating heart. Historical and modern view of the problem. Grudnaya i Serdechno-Sosudistaya Khirurgiya. 2023; 65 (5): 522–531 (in Russ.). DOI: 10.24022/0236-2791-2023-65-5-522-531
  17. Li H.P., Ye X.W., Wang H.T. Two case reports of right atrial aneurysm. Medicine (Baltimore). 2020; 99 (16): e19748. DOI: 10.1097/ MD.00000000000019748

About Authors

  • Sergey N. Chetyrev, Postgraduate, Cardiovascular Surgeon; ORCID
  • Dmitry A. Titov, Cand. Med. Sci., Cardiovascular Surgeon, Head of the Department of Emergency Surgery for Acquired Heart Defects; ORCID
  • Kiriena M. Boldyreva, Junior Researcher, Radiologist; ORCID
  • Elena V. Penyaeva, Senior Researcher, Pathologist; ORCID
  • Sayali M. Gyulmamedova, Postgraduate, Cardiologist; ORCID

Chief Editor

Elena Z. Golukhova, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, Director of Bakoulev National Medical Research Center for Cardiovascular Surgery


Sort by