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Wang B, Shan G, Bing Z, Zhang Q, Xing Q, Li Z. Giant right atrium in a child with dilated cardiomyopathy: A case report. Front Cardiovasc Med 2023; 10:1083188. [PMID: 37008326 PMCID: PMC10050595 DOI: 10.3389/fcvm.2023.1083188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Accepted: 02/17/2023] [Indexed: 03/17/2023] Open
Abstract
Dilated cardiomyopathy (DCM) is one of the leading causes of heart failure in children with diverse clinical characteristics. To date, DCM with a giant atrium as the first manifestation is rare and has not been reported in previous literature. We report a case of a male infant born with a significantly enlarged right atrium. Due to worsened clinical symptoms and the risk of arrhythmias and thrombosis, we performed the surgical reduction of the right atrium. Unfortunately, DCM and a progressive re-enlargement of the right atrium appeared during midterm follow-up. The mother's echocardiogram also suggested DCM, and the patient was eventually considered for a diagnosis of familial DCM. This case may expand the clinical spectrum of DCM and reminds us of the importance of good follow-up of children with idiopathic dilatation of the right atrium.
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Affiliation(s)
- Benzhen Wang
- Heart Center, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
| | - Guangsong Shan
- Heart Center, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
| | - Zhen Bing
- Heart Center, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
| | - Qi Zhang
- Department of Radiology, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
| | - Quansheng Xing
- Heart Center, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
| | - Zipu Li
- Heart Center, Qingdao Women and Children’s Hospital, Qingdao University, Qingdao, China
- Correspondence: Zipu Li
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