Key result
Echo reveals giant ~1000 mL right atrium in severe rheumatic tricuspid regurgitation.
Why the study?
Right atrium enlargement is rare in adults and can occur in rheumatic heart disease with severe mitral valve disease or pulmonary hypertension, but giant RA cases are scarcely reported.
Case Report (n=1)
This case report describes an exceptionally large right atrium (1000 mL) in a young adult with rheumatic heart disease and severe tricuspid regurgitation.
Alerts clinicians to extreme right atrial enlargement possible in rheumatic heart disease; leaves open optimal management strategies.
Mini‐Abstract Massive right atrium (RA) enlargement is certainly more common in children than in adults, owing to rare congenital anomalies. RA could be enlarged in a case of rheumatic heart disease especially when associated with severe mitral valve disease or pulmonary hypertension. We are presenting a case of 25‐year‐old female patient who presented with features of congestive heart failure. Echocardiography revealed the presence of giant RA along with organic severe tricuspid regurgitation, mild tricuspid stenosis, and mild aortic regurgitation. RA volume measured in our case was about 1000 mL which is the largest description so far described in the literature.
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Patra et al. (2013) conducted a case report in Rheumatic Heart Disease (n=1). Echocardiography in a 25-year-old female with rheumatic heart disease revealed a giant right atrium with a volume of approximately 1000 mL, alongside severe tricuspid regurgitation.
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