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Resection of a Congenital Left Atrial Appendage Aneurysm without Extracorporeal Circulation  

Kim, Yong-Ho (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Yu, Jae-Hyeon (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Lee, Seok-Ki (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Kang, Shin-Kwang (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Lim, Seung-Pyung (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Lee, Young (Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University)
Publication Information
Journal of Chest Surgery / v.42, no.2, 2009 , pp. 244-247 More about this Journal
Abstract
A left atrial appendage aneurysm is a very rare medical condition which can develop by an inflammatory reaction or a degenerative change. If there is no accompanying anomaly, a left atrial appendage is considered a congenital disease. The majority of left atrial appendage aneurysms are detected incidentally because they usually do not cause any symptoms. Surgery is indicated, even for asymptomatic patients, because of the risk of life-threatening complications, such as atrial fibrillation, supraventricular tachycardia, systemic embolization, and cardiac arrest. Left atrial appendage aneurysms are usually treated by a median sternotomy with extracorporeal circulation, especially if the aneurysm has a broad base or contains a thrombus, but can treated by thoracotomy without extracorporeal circulation. We report a case of a successfully treated left atrial appendage aneurysm that was misdiagnosed as a partial pericardial defect without extracorporeal circulation in a 13-year old child.
Keywords
Aneurysm; Heart atrium; Congenital heart disease;
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1 Hougen TJ, Mulder DG, Gyepes MT, Moss AJ. Aneurysm of the left atrium. Am J Cardiol 1974;33:557-61   DOI   ScienceOn
2 Zhao J, Ge Y, Yan H, Pan Y, Liao Y. Treatment of congenital aneurysms of the left atrium and left atrial appendage. Tex Heart Inst J 1999;26:136-9
3 Vagefi PA, Choudhry M, Hilgenberg AD. Excision of an aneurysm of the left atrial appendage. J Thorac Cardiovasc Surg 2007;133:822-3   DOI   PUBMED   ScienceOn
4 Kunishima T, Musha H, Yamamoto T, et al. Congenital giant aneurysm of the left atrial appendage mimicking pericardial absence case report. Jpn Circ J 2001;65:56-9   DOI   ScienceOn
5 Park JS, Lee DH, Han SS, et al. Incidentally found, growing congenital aneurysm of the left atrium. J Korean Med Sci 2003;18:262-6   PUBMED
6 Coselli JS, Beall AC Jr, Ziaddi GM. Congenital intrapericardial aneurismal dilatation of the left atrial appendage. Ann Thorac Surg 1985;39:466-7   DOI   PUBMED
7 Schiavone WA, O’Donnell JK. Congenital absence of the left portion of partial pericardium demonstrated by nuclear magnetic resonance imaging. Am J Cardiol 1995;55:1438-9   DOI   ScienceOn
8 Ulucam M, Muderrisoglu H, Sezgin A. Giant left atrial appendage aneurysm: the third ventricle. Int J Cardiovasc Imaging 2005;21:225-30   DOI