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Resection of Congenital Intrapericardial Right Atrial Aneurysm

Yavuz Beoul, MD, Bülent Tünerir, MD, Celal Kirdar, MD¹, Bilgin Timuralp, MD², Recep Aslan, MD

Department of Cardiovascular and Thoracic Surgery 2 Department of Cardiology Osmangazi University Medical School and Research Hospital Eskisehir, Turkey 1 Department of Cardiology State Hospital Eskisehir, Turkey
For reprint information contact: Bülent Tünerir, MD Tel: 90 222 232 1386 Fax: 90 222 220 4830 email: btunerir{at}ogu.edu.tr Hasan Polatkan Bulvari Akin Sitesi, No. 122/A, D:19, Eskisehir 26120, Turkey.

A 16-year-old male was investigated for exercise-induced dyspnea and paroxysmal palpitations. There was no prominent right heart border in a chest radiograph. A congenital intrapericardial right atrial aneurysm was diagnosed from 2-dimensional echocardiographic findings of a large echo-free space close to the right atrium, and confirmed by magnetic resonance imaging and surgical pathology. Successful repair was achieved on a beating heart with a brief period of on-pump support. Postoperatively, the symptoms disappeared completely.