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Case Report
 
Asymptomatic idiopathic right atrial rupture: An unusual presentation
Parminder S. Otaal1, Rajesh Vijayvergia1
1DM, Department of Cardiology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Punjab, India.

doi:10.5348/ijcri-201588-CR-10549

Address correspondence to:
Parminder S. Otaal
Postgraduate Institute of Medical Education and Research
Chandigarh, Punjab 160012
India
Phone: +91-172-2756512-13
Fax: +91-172-2744401

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How to cite this article
Otaal PS, Vijayvergia R. Asymptomatic idiopathic right atrial rupture: An unusual presentation. Int J Case Rep Images 2015;6(9):552–555.


Abstract
Introduction: Atrial rupture is a very rare and fatal condition and has been only scantily reported in the past. Patients with this condition present with significant clinical symptoms requiring an urgent medical management.
Case Report: A case of spontaneous idiopathic right atrial rupture detected on routine physical examination in a completely asymptomatic active young male. A defect of 18 mm in the right atrial wall just above the level of tricuspid valve was revealed in the transthoracic echocardiogram. Patient denied the option of surgical repair and remains asymptomatic during a two-year follow-up.
Conclusion: Very rarely, patients with spontaneous idiopathic right atrial rupture may remain asymptomatic for a long period and can live a normal life without any active surgical intervention. However, the patient may develop severe right heart failure followed by death if the medical condition is left untreated. In view of the long-term complications, it is advisable to treat this condition with immediate surgical intervention.

Keywords: Right atrial rupture, Idiopathic, Spontaneous, Cardiology


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Author Contributions
Parminder S. Otaal – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Rajesh Vijayvergia – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Parminder S. Otaal et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.