A Focus on the Right Atrium: Right Atrial Diverticulum and Atrial Flutter

Rebecca K Angoff; Jonathan W Waks; Michael C Gavin; Hans F Stabenau; Jordan B Strom

doi:10.1016/j.jaccas.2023.101788

A Focus on the Right Atrium: Right Atrial Diverticulum and Atrial Flutter

JACC Case Rep. 2023 Feb 22:11:101788. doi: 10.1016/j.jaccas.2023.101788. eCollection 2023 Apr 5.

Authors

Rebecca K Angoff¹, Jonathan W Waks¹, Michael C Gavin¹, Hans F Stabenau¹, Jordan B Strom^{1

2}

Affiliations

¹ Cardiovascular Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.
² Richard A. and Susan F. Smith Center for Outcomes Research in Cardiology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA.

Abstract

We report a case of a 70-year-old woman who presented for a cavotricuspid isthmus atrial flutter ablation that was aborted prematurely. On subsequent imaging, she was discovered to have a right atrial diverticulum, which was present on prior imaging but not reported, likely due to unfamiliarity with the entity. (Level of Difficulty: Intermediate.).

Keywords: atrial flutter; echocardiography; imaging; supraventricular arrhythmias; ultrasound.