Position dependent right ventricular dysfunction caused by a giant right XXXX .

@entity1 @entity296 @entity1163 @entity600 @entity2845 @entity439 @entity397 @entity741 @entity731 @entity574
We describe an instructive case of a 79-year-old @entity1 with a @entity574 and a second smaller @entity439 with an uncommon symptomatology. @entity574 (>2 cm diameter) are rare pathologic entities with a prevalence of 0.02%. They either can be @entity600 or are @entity731 in origin. Although spontaneous @entity397 of @entity574 has been reported, they generally remain silent or induce @entity741 . Our @entity1 , however, showed no signs of @entity296 but transient position-dependent pre- @entity1163 . The cardiologic work-up and the intraoperative considerations regarding @entity1 management are described. During surgery, manipulation of the @entity574 caused impairment of right ventricular function and regional wall @entity2845 , as assessed by transesophageal echocardiography. Venous cannulation of the right atrium was thus abandoned and extracorporeal circulation was established via the femoral vein. Subsequent dissection and surgical repair were uneventful and further recovery of the elderly @entity1 was uncomplicated. This case underlines that once the diagnosis is established, proper perioperative management enables successful surgical treatment even of @entity1 of advanced age.
