atrial septal defect (asd) is a common congenital anomaly that has low surgical mortality and morbidity. we report a very rare case of a low-lying asd, combined with the drainage of the inferior vena cava and the left superior vena cava into the left atrium. this combination was associated with an unroofed coronary sinus. we also describe an iatrogenic surgical diversion of the inferior vena ca...

Right atrial dilation due to left heart disease is a common complication among adults. The present review aimed to describe a case of massively dilated right atrium in a female patient presenting with valvular heart disease and no atrial fibrillation. The results of chest X-ray revealed a large opacity filling the lower right hemithorax, falsely interpreted as a mediastinal mass. During the tra...

Figure 1 – A) Transthoracic echocardiogram showing cor triatriatum: proximal and distal left atrium separated by a membrane (Pointing white arrow), LA: left atrium; LV: left ventricle; RV: right ventricle; RA: right atrium. B) Transesophageal echocardiogram showing cor triatriatum: proximal and distal left atrium separated by a membrane (Pointing white arrow), LA: left atrium; LV: left ventricl...

prolapsed mitral valve syndrome is a common, benign disorder with prevalence of %0.3-6 in population. this syndrome also is known as barlows syndrome and flaapy mitral valve syndrome. prolapsed mitral valve is the dropping of one or two mitral valve leaflet(s) into the left atrium during ventricular systole. this malformation leads to incomplete closing of mitral valve and regurgitates the bloo...

Radiographic evidence of asymmetrical enlargement of the left atrium without atrial infarction is presented. Giant atrial enlargement is rarely symmetrical, the atrial appendage can contribute to the enlargement, and the giant atrium can be effectively trimmed. This will reduce its size and, therefore, the space which it occupies, and will restore the anatomical relations of neighbouring struct...

A69-year-old woman presented as an outpatient with shortness of breath. She was a former smoker and had a past medical history of rheumatic heart disease with mild mitral stenosis and moderate-to-severe mitral insufficiency associated with atrial fibrillation. A chest x-ray revealed near-complete opacification of the right mid-to-lower lung zones, with a shift of the mediastinal structures and ...

To cite: Alvarez-Acosta L, Sanchez-Quintana A, FarraisVillalba M, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013009551 DESCRIPTION A 51-year-old female patient presented to the emergency room with a 3-month history of increasing dyspnoea, and 5 kg weight loss. Her medical history was not relevant. Physical examination revealed 100/90 mm Hg blood press...

Delayed evaluation and management of penetrating cardiac injuries especially mortar fragments were performed in 30 war victims in the Shahid Rajai Heart Hospital, Tehran. All were men with a mean age of 20.7 years. Pleuritic chest pain was the most common symptom (53.3%), while physical examination was negative in the majority of cases (66.8%). 50 percent of the cases had pericardial effus...