1570s, from L., "central court or main room of an ancient Roman house," sometimes said (on authority of Varro, "De Lingua Latina") to be an Etruscan word, but perhaps from PIE *ater- "fire," on notion of "place where smoke from the hearth escapes" (through a hole in the roof). Anatomical sense of "either of the upper cavities of the heart" first recorded 1870. Meaning "skylit central court in a public building" first attested 1967. Related: Atrial (1869).