Isolated right atrial infarction with rupture

Randolph W. Hurley, Ramiah Subramanian, Peter S. Rahko, Weldon D. Shelp

Research output: Contribution to journalLetter

3 Citations (Scopus)

Abstract

To the Editor: Atrial infarction is an underrecognized clinical entity, and atrial rupture is a complication in fewer than 5 percent of the cases diagnosed.1,2 We report a rare case of an isolated right atrial infarction with rupture and epicardial hematoma formation that presented as a cardiac mass.3 An 80-year-old man with chronic renal failure treated by dialysis presented with dyspnea but no pulsus paradoxus, Kussmaul's sign, or evidence of left ventricular failure. The chest radiograph revealed an enlarged cardiac silhouette. Uremic pericardial effusion was suspected, but two-dimensional echocardiography revealed a mass distorting the right atrium and right ventricle. This.

Original languageEnglish (US)
Number of pages1
JournalNew England Journal of Medicine
Volume322
Issue number22
DOIs
StatePublished - May 31 1990

Fingerprint

Infarction
Rupture
Pericardial Effusion
Heart Atria
Hematoma
Dyspnea
Chronic Kidney Failure
Heart Ventricles
Echocardiography
Pulse
Dialysis
Thorax

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Hurley, R. W., Subramanian, R., Rahko, P. S., & Shelp, W. D. (1990). Isolated right atrial infarction with rupture. New England Journal of Medicine, 322(22). https://doi.org/10.1056/NEJM199005313222217

Isolated right atrial infarction with rupture. / Hurley, Randolph W.; Subramanian, Ramiah; Rahko, Peter S.; Shelp, Weldon D.

In: New England Journal of Medicine, Vol. 322, No. 22, 31.05.1990.

Research output: Contribution to journalLetter

Hurley, RW, Subramanian, R, Rahko, PS & Shelp, WD 1990, 'Isolated right atrial infarction with rupture', New England Journal of Medicine, vol. 322, no. 22. https://doi.org/10.1056/NEJM199005313222217
Hurley, Randolph W. ; Subramanian, Ramiah ; Rahko, Peter S. ; Shelp, Weldon D. / Isolated right atrial infarction with rupture. In: New England Journal of Medicine. 1990 ; Vol. 322, No. 22.
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N2 - To the Editor: Atrial infarction is an underrecognized clinical entity, and atrial rupture is a complication in fewer than 5 percent of the cases diagnosed.1,2 We report a rare case of an isolated right atrial infarction with rupture and epicardial hematoma formation that presented as a cardiac mass.3 An 80-year-old man with chronic renal failure treated by dialysis presented with dyspnea but no pulsus paradoxus, Kussmaul's sign, or evidence of left ventricular failure. The chest radiograph revealed an enlarged cardiac silhouette. Uremic pericardial effusion was suspected, but two-dimensional echocardiography revealed a mass distorting the right atrium and right ventricle. This.

AB - To the Editor: Atrial infarction is an underrecognized clinical entity, and atrial rupture is a complication in fewer than 5 percent of the cases diagnosed.1,2 We report a rare case of an isolated right atrial infarction with rupture and epicardial hematoma formation that presented as a cardiac mass.3 An 80-year-old man with chronic renal failure treated by dialysis presented with dyspnea but no pulsus paradoxus, Kussmaul's sign, or evidence of left ventricular failure. The chest radiograph revealed an enlarged cardiac silhouette. Uremic pericardial effusion was suspected, but two-dimensional echocardiography revealed a mass distorting the right atrium and right ventricle. This.

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