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      Two-Dimensional Echocardiography in Idiopathic Enlargement of the Right Atrium

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          A 36-year-old woman was admitted to our hospital with exertional dyspnea, palpitation and cardiac enlargement on standard chest X-ray. Physical examination did not reveal any significant abnormality and routine laboratory tests were normal. ECG showed atrial fibrillation and negative T waves in lead III and aVF, with a stiffened ST segment. M-mode echocardiography showed absence of pericardial effusion and normal size of both ventricular chambers. Two-dimensional echocardiography showed a large saccular dilation of the right atrium without significant enlargement of other cardiac chambers. A slight displacement of tricuspid valve leaflets was also present. Cardiac catheterization was effective in the diagnosis of idiopathic enlargement of the right atrium. Although two-dimensional echocardiography has some limitations in the diagnosis of this unusual malformation, it may prove useful in the noninvasive follow-up of these patients, in order to monitor the eventual increase of atrial size and to promptly detect late complications.

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          Author and article information

          S. Karger AG
          07 November 2008
          : 70
          : 4
          : 216-222
          Clinica Medica I, 2nd School of Medicine, University of Naples, Italy
          173597 Cardiology 1983;70:216–222
          © 1983 S. Karger AG, Basel

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          Pages: 7
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