Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics.
Eur Heart J Case Rep
; 8(4): ytae163, 2024 Apr.
Article
in En
| MEDLINE
| ID: mdl-38690555
ABSTRACT
Background:
Stiff left atrial syndrome is a well-established cause of heart failure symptoms. A parallel entity involving the right atrium (RA) has not previously been described. We present a case of refractory right heart failure (RHF) 12 years following orthotopic heart transplantation. Casesummary:
Patient underwent annuloplasty ring placement for severe tricuspid regurgitation in 2018 and kidney transplantation in 2020. The use of multimodality imaging and a multidisciplinary approach suggested a stiff RA as a potential etiology to refractory symptoms. Redo-heart and kidney transplantation in March 2021 led to the resolution of symptoms without recurrence.Discussion:
We propose stiff right atrial syndrome that may need to be considered in the setting of refractory RHF primarily suggested by significant right atrial enlargement and restrictive physiology.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Language:
En
Journal:
Eur Heart J Case Rep
Year:
2024
Document type:
Article
Affiliation country:
United States