Enlarged Right Atrium Falsely Interpreted as a Mediastinal Mass: A Case Report

Zand, Farid; Sasani, Mohammad Reza; Shahbazi, Shahrbanoo; Hojabri, Kamran; Jannati, Mansour

doi:10.22038/jctm.2015.4758

Enlarged Right Atrium Falsely Interpreted as a Mediastinal Mass: A Case Report

Document Type : Image in Cardio-Thoracic Medicine

Authors

Farid Zand ¹

Mohammad Reza Sasani ²

Shahrbanoo Shahbazi ¹

Kamran Hojabri ³

Mansour Jannati ⁴

¹ Anesthesiologist, Anesthesiology and Critical Care Research Center, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

² Radiologist, Medical Imaging Research Center, Department of Radiology, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

³ Resident of Anesthesiology, Department of Anesthesia, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

⁴ Cardiac Surgeon, Department of Cardiovascular Surgery, Faculty of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

10.22038/jctm.2015.4758

Abstract

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 transesophageal echocardiography, severe enlargement of the right atrium was detected, and open mitral and tricuspid valve replacements were performed successfully.

Keywords

Chest X-ray

echocardiography

Heart Atria

Mass

Mediastinal Disease