Totally Endoscopic Resection of Right Atrial Diverticulum: A Case Report

Abstract

Right atrial diverticulum is a rare congenital heart defect with only about 30 cases reported. Surgery is the main method of treatment and is indicated when the patients have signs of right heart compression. In this study, we report the case of a 43-year-old male patient who was diagnosed with massive right atrial diverticulum. This patient was the first case who underwent successful repair by totally endoscopic surgery on the beating heart.

Right atrial diverticulum: A case report and review of literature

“…There are reports of resection of the diverticulum without the use of CPB. Total endoscopic removal of the diverticulum on the beating heart is also reported [1]. However, large diverticula and those at risk of rupture should be resected under CPB.…”

“…Diverticulum of the right atrium (RA) is a rare congenital anomaly with only about 30 cases reported in the literature [1]. Patients with a single diverticulum may remain asymptomatic till late in life, while those with symptoms can present in early infancy or childhood.…”