Aneurysm of the Right Atrial Appendage (original) (raw)
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Aneurysm of Left Atrial Appendage: Report of two repaired cases
Bangladesh heart journal, 2021
Left atrial appendage aneurysm is a rare heart defect; Most often diagnosed incidentally but may be potentially hazardous when presented with a systemic embolization or arrhythmia. So early diagnosis and treatment is indicated. We have successfully operated two cases of left atrial aneurysm in recent past and sharing our experiences through this case reports.
Right atrial appendage aneurysm with intractable atrial tachycardia
IHJ Cardiovascular Case Reports (CVCR), 2020
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Aneurysm left atrial appendage
Cardiometry, 2017
Aneurysms of the atrial appendages are rare and extremely rare clinical entities. It can be confused with pericardial cyst, coronary artery aneurysm, left ventricular pseudoaneurysm and partial or complete congenital absence of the pericardium. Usually clinically asymptomatic, diagnosed as incidental finding by the presence of heart murmur or cardiomegaly on chest radiograph, it can also manifest in the presence of supraventricular arrhythmias or systemic embolism. The treatment of this pathology makes aneurysmectomy. For 3year preschool heart murmur and echocardiographic finding of insufficiency Mitral and aneurysmal dilation of the left atrial appendage it is presented.
BACKGROUND An aneurysm of the left atrial appendage is one of the rare but potentially hazardous heart defects. The risk of lethal complications grows with its size. To date, about 150 cases of this defect have been described in the literature. We present a case of left atrial appendage aneurysm with the deformation of the mitral valve and the left main coronary and circumflex artery, which required mitral valve annuloplasty and bifurcation stenting. CASE SUMMARY A 58-year-old man presented to our hospital complaining of shortness of breath, general weakness, dizziness during physical exertion, and fatigue. Based on the results of echocardiography, an aneurysm of the left atrium was suspected. A free-breathing real-time cine magnetic resonance imaging with electrocardiograph synchronization confirmed the diagnosis of left atrial appendage aneurysm. The patient underwent an aneurysmectomy via a median sternotomy with cardiopulmonary bypass. Intraoperative transesophageal echocardiography revealed relative mitral insufficiency that was corrected with an annuloplasty ring. Intraoperative coronary angiogram showed impaired blood flow in the left main coronary and circumflex artery and 60% stenosis. For this reason, bifurcation stenting was performed. The patient had an uneventful postoperative clinical course and was discharged from the hospital on the 10th day in a satisfactory condition. CONCLUSION Left atrial appendage aneurysm is a rare and dangerous heart pathology that requires surgery to prevent related complications.
Aneurysm of the right atrial appendage in an elderly patient
Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır, 2009
A 72-year-old male patient presented with a complaint of pain in both legs during short walks of less than 50 meters. Physical examination showed weak arterial pulses in both lower extremities. Electrocardiographic and telecardiographic evaluations were normal. A previous abdominal ultrasonography examination performed for abdominal pain showed an abdominal aortic aneurysm. Coronary angiography findings were normal; however, peripheral angiography showed an abdominal aortic aneurysm and extensive critical bilateral peripheral artery disease. Transthoracic echocardiography disclosed an aneurysmal structure neighboring the right atrium. Transesophageal echocardiography demonstrated a 30x18-mm chamber suggestive of a right atrial appendage aneurysm. Cardiac magnetic resonance imaging confirmed the presence of the right atrial appendage aneurysm, 25x15 mm in size, over the tricuspid valve. The neck of the aneurysm was 11 mm. The patient underwent surgery which included grafting of the a...
Congenital Aneurysm of the Left Atrial Appendage with Left Superior Vena Cava
Clinical Medicine Insights: Therapeutics, 2011
A 32-year-old man underwent excision of an aneurysm of the left atrial appendage which had been causing palpitation and supraventricular tachyarrhythmia. Various techniques are useful for making the diagnosis and allowing differential diagnosis between this and other pathologies. In this report, the diagnosis was based on transthoracic and transesophageal echocardiography, and the patient was treated by surgical resection of the aneurysm on cardiopulmonary bypass. There were no postoperative complications. Four months later, the patient remained asymptomatic and in sinus rhythm.
Left Atrial Appendage Aneurysm
The Annals of Thoracic Surgery, 2005
Aneurysms of the left atrial appendage are exceedingly rare. Patients most commonly present with atrial tachyarrhythmias and thromboembolism. Resection of the aneurysm is usually curative. We present a case report of a 60-year-old female with a long-standing history of atrial arrhythmias found to have a large left atrial appendage aneurysm with additional bi-atrial enlargement and a family history of atrial arrhythmias. The patient was successfully treated with resection of the aneurysm and a Cox-Maze III procedure.