Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics
Stiff left atrial syndrome is a well-established cause of heart failure symptoms. A parallel entity involving the right atrium (RA) has not previously been described. We present a case of refractory right heart failure (RHF) 12 years following orthotopic heart transplantation. Patient underwent annu...
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| Veröffentlicht in: | European heart journal : case reports 2024-04, Vol.8 (4), p.ytae163 |
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| container_title | European heart journal : case reports |
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| creator | Krishnarao, Krithika Yip, Daniel S Goswami, Rohan M Leoni, Juan C Patel, Parag C |
| description | Stiff left atrial syndrome is a well-established cause of heart failure symptoms. A parallel entity involving the right atrium (RA) has not previously been described. We present a case of refractory right heart failure (RHF) 12 years following orthotopic heart transplantation.
Patient underwent annuloplasty ring placement for severe tricuspid regurgitation in 2018 and kidney transplantation in 2020. The use of multimodality imaging and a multidisciplinary approach suggested a stiff RA as a potential etiology to refractory symptoms. Redo-heart and kidney transplantation in March 2021 led to the resolution of symptoms without recurrence.
We propose stiff right atrial syndrome that may need to be considered in the setting of refractory RHF primarily suggested by significant right atrial enlargement and restrictive physiology. |
| doi_str_mv | 10.1093/ehjcr/ytae163 |
| format | Article |
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Patient underwent annuloplasty ring placement for severe tricuspid regurgitation in 2018 and kidney transplantation in 2020. The use of multimodality imaging and a multidisciplinary approach suggested a stiff RA as a potential etiology to refractory symptoms. Redo-heart and kidney transplantation in March 2021 led to the resolution of symptoms without recurrence.
We propose stiff right atrial syndrome that may need to be considered in the setting of refractory RHF primarily suggested by significant right atrial enlargement and restrictive physiology.</description><identifier>ISSN: 2514-2119</identifier><identifier>EISSN: 2514-2119</identifier><identifier>DOI: 10.1093/ehjcr/ytae163</identifier><identifier>PMID: 38690555</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Case Report ; Heart ; Heart failure ; Kidneys ; Rheumatoid factor ; Transplantation</subject><ispartof>European heart journal : case reports, 2024-04, Vol.8 (4), p.ytae163</ispartof><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology.</rights><rights>COPYRIGHT 2024 Oxford University Press</rights><rights>The Author(s) 2024. Published by Oxford University Press on behalf of the European Society of Cardiology. 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c378t-1aa332d363ddbfe6ac20a2105c34306a45fb9562a34364b5a8221ed0b51a09473</cites><orcidid>0000-0002-7104-6482 ; 0000-0002-2761-5895 ; 0000-0002-4895-9857 ; 0000-0001-7820-3842 ; 0000-0001-8098-2814</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057788/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057788/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,315,729,782,786,866,887,27933,27934,53800,53802</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38690555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Mapelli, Massimo</contributor><contributor>Akhtar, Waqas</contributor><contributor>Liu, Zhiyu</contributor><contributor>Sepulveda, Edgar Francisco Carrizales</contributor><contributor>Mistry, Nisha</contributor><contributor>Gohar, Aisha</contributor><creatorcontrib>Krishnarao, Krithika</creatorcontrib><creatorcontrib>Yip, Daniel S</creatorcontrib><creatorcontrib>Goswami, Rohan M</creatorcontrib><creatorcontrib>Leoni, Juan C</creatorcontrib><creatorcontrib>Patel, Parag C</creatorcontrib><title>Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics</title><title>European heart journal : case reports</title><addtitle>Eur Heart J Case Rep</addtitle><description>Stiff left atrial syndrome is a well-established cause of heart failure symptoms. A parallel entity involving the right atrium (RA) has not previously been described. We present a case of refractory right heart failure (RHF) 12 years following orthotopic heart transplantation.
Patient underwent annuloplasty ring placement for severe tricuspid regurgitation in 2018 and kidney transplantation in 2020. The use of multimodality imaging and a multidisciplinary approach suggested a stiff RA as a potential etiology to refractory symptoms. Redo-heart and kidney transplantation in March 2021 led to the resolution of symptoms without recurrence.
We propose stiff right atrial syndrome that may need to be considered in the setting of refractory RHF primarily suggested by significant right atrial enlargement and restrictive physiology.</description><subject>Case Report</subject><subject>Heart</subject><subject>Heart failure</subject><subject>Kidneys</subject><subject>Rheumatoid factor</subject><subject>Transplantation</subject><issn>2514-2119</issn><issn>2514-2119</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNptUU1r3DAQNaWlCWmOvRZBz070Ycv2KSyhXxDIIe1ZjCXZO0GWFkm71Pn1VbppSKDoMJp5b97M8KrqI6MXjA7i0m7vdbxcM1gmxZvqlLesqTljw9sX_5PqPKV7SimnYpCdeF-diF4OtG3b02p_l3GaSMR5mwnkiOBIWr2JYbFXZEN0WHbO_ibaoUddQA3Jkmh3IWayz-jwAf1Mlr3LuAQDDvNKcIH5sQreEPQHSHiwZGsLvnpYUKcP1bsJXLLnT_Gs-vX1y8_r7_XN7bcf15ubWouuzzUDEIIbIYUx42QlaE6BM9pq0QgqoWmncWglh5LKZmyh55xZQ8eWAR2aTpxVV0fd3X5crNHW5whO7WLZMK4qAKrXiMetmsNBsTKk6_q-KHw-KszgrEI_hcLTCyatNt3Q9LLpB1pYF_9hlWdsOTd4O2Gpv2qojw06hpSinZ53YlQ9Wqv-WquerC38Ty8PeWb_M1L8AThVo6s</recordid><startdate>20240401</startdate><enddate>20240401</enddate><creator>Krishnarao, Krithika</creator><creator>Yip, Daniel S</creator><creator>Goswami, Rohan M</creator><creator>Leoni, Juan C</creator><creator>Patel, Parag C</creator><general>Oxford University Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-7104-6482</orcidid><orcidid>https://orcid.org/0000-0002-2761-5895</orcidid><orcidid>https://orcid.org/0000-0002-4895-9857</orcidid><orcidid>https://orcid.org/0000-0001-7820-3842</orcidid><orcidid>https://orcid.org/0000-0001-8098-2814</orcidid></search><sort><creationdate>20240401</creationdate><title>Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics</title><author>Krishnarao, Krithika ; Yip, Daniel S ; Goswami, Rohan M ; Leoni, Juan C ; Patel, Parag C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c378t-1aa332d363ddbfe6ac20a2105c34306a45fb9562a34364b5a8221ed0b51a09473</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case Report</topic><topic>Heart</topic><topic>Heart failure</topic><topic>Kidneys</topic><topic>Rheumatoid factor</topic><topic>Transplantation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krishnarao, Krithika</creatorcontrib><creatorcontrib>Yip, Daniel S</creatorcontrib><creatorcontrib>Goswami, Rohan M</creatorcontrib><creatorcontrib>Leoni, Juan C</creatorcontrib><creatorcontrib>Patel, Parag C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>European heart journal : case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krishnarao, Krithika</au><au>Yip, Daniel S</au><au>Goswami, Rohan M</au><au>Leoni, Juan C</au><au>Patel, Parag C</au><au>Mapelli, Massimo</au><au>Akhtar, Waqas</au><au>Liu, Zhiyu</au><au>Sepulveda, Edgar Francisco Carrizales</au><au>Mistry, Nisha</au><au>Gohar, Aisha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics</atitle><jtitle>European heart journal : case reports</jtitle><addtitle>Eur Heart J Case Rep</addtitle><date>2024-04-01</date><risdate>2024</risdate><volume>8</volume><issue>4</issue><spage>ytae163</spage><pages>ytae163-</pages><issn>2514-2119</issn><eissn>2514-2119</eissn><abstract>Stiff left atrial syndrome is a well-established cause of heart failure symptoms. A parallel entity involving the right atrium (RA) has not previously been described. We present a case of refractory right heart failure (RHF) 12 years following orthotopic heart transplantation.
Patient underwent annuloplasty ring placement for severe tricuspid regurgitation in 2018 and kidney transplantation in 2020. The use of multimodality imaging and a multidisciplinary approach suggested a stiff RA as a potential etiology to refractory symptoms. Redo-heart and kidney transplantation in March 2021 led to the resolution of symptoms without recurrence.
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| source | DOAJ Directory of Open Access Journals; Access via Oxford University Press (Open Access Collection); Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central |
| subjects | Case Report Heart Heart failure Kidneys Rheumatoid factor Transplantation |
| title | Stiff right atrial syndrome? A complex clinical case report utilizing multimodality imaging and invasive hemodynamics |
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