Large Left Atrial Aneurysm in a 35-Year-Old Man

Document Type : Case Report

Authors

1 Cardiovascular Intervention Department, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

2 Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

3 Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran.

Abstract

A left atrial appendage aneurysm (LAAA) is an extremely rare anomaly commonly diagnosed incidentally or following thromboembolic or tachyarrhythmia occurrence. LAAAs can lead to life-threatening adverse events such as atrial fibrillation, myocardial infarction, and systemic thromboembolism. We herein report an LAAA in a 35-year-old man presenting with episodes of chest discomfort and sudden-onset palpitations, along with exertional dyspnea. He underwent an aneurysmectomy with cardiopulmonary bypass. (Iranian Heart Journal 2022; 23(3): 126-130)

Keywords

References

  1. Wilson D, Kalra N, Brody EA, Van Dyk H, Sorrell VL. Left atrial appendage aneurysm—a rare anomaly with an atypical presentation. Congenital heart disease. 2009; 4:489-493
  2. Yao R, Hunsaker RP, Gelman B. An unusual echocardiogram. Journal of cardiothoracic and vascular anesthesia. 2008; 22:636-638
  3. Foale RA, Gibson TC, Guyer DE, Gillam L, King ME, Weyman AE. Congenital aneurysms of the left atrium: Recognition by cross-sectional echocardiography. Circulation. 1982; 66:1065-1069
  4. Parmley LF. Congenital atriomegaly. Circulation. 1962; 25:553-558
  5. Williams W. Dilatation of the left atrial appendage. British heart journal. 1963; 25:637
  6. Frambach P, Geskes G, Cheriex E, Wellens H, D OCKM P. Giant intrapericardial aneurysm of the left atrial appendage. European heart journal. 1990; 11:848-853
  7. Aryal MR, Hakim FA, Ghimire S, Ghimire S, Giri S, Pandit A, Bhandari Y, Bhandari N, Pathak R, Karmacharya P. Left atrial appendage aneurysm: A systematic review of 82 cases. Echocardiography. 2014; 31:1312-1318
  8. Chowdhury UK, Seth S, Govindappa R, Jagia P, Malhotra P. Congenital left atrial appendage aneurysm: A case report and brief review of literature. Heart, Lung and Circulation. 2009; 18:412-416
  9. Nakai Y, Asano M, Nomura N, Mishima A. Surgical management of an aneurysm of the left atrial appendage to prevent potential sequelae. Interactive cardiovascular and thoracic surgery. 2013:ivt252
  10. Hosseini S, Hashemi A, Saedi S, Jalili F, Maleki M, Jalalian R, Rezaei Y. Left atrial appendage aneurysm. The Annals of Thoracic Surgery. 2016; 102:e207-e209
  11. Krueger SK, Ferlic RM, Mooring PK. Left atrial appendage aneurysm: Correlation of noninvasive with clinical and surgical findings: Report of a case. Circulation. 1975; 52:732-738
  12. Kuiten WM, de Heer LM, van Aarnhem EE, Onsea K, van Herwerden LA. Giant left atrial appendage: A rare anomaly. The Annals of thoracic surgery. 2013; 96:1478-1480
  13. Chung JW, Shim J, Shim WJ, Kim Y-H, Hwang SH. Paradoxical response of giant left atrial appendage aneurysm after catheter ablation of atrial fibrillation. Investigative Magnetic Resonance Imaging. 2016; 20:132-135
Iranian Heart Journal
Volume 23, Issue 3
July 2022
Pages 126-130

Files

Share

How to cite

Statistics