Congenital giant left atrial appendage aneurysm: a case report.
J Cardiothorac Surg
; 12(1): 15, 2017 Mar 16.
Article
em En
| MEDLINE
| ID: mdl-28302138
ABSTRACT
BACKGROUND:
Congenital left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially serious complications, including life-threatening systemic thromboembolism, atrial tachyarrhythmia, and cardiac dysfunction. Currently, early surgical intervention is generally recommended to prevent these complications. CASE PRESENTATION We present a case of congenital giant LAAA in a female patient who successfully completed pregnancy and underwent caesarean section with no obvious complications. Surgical resection of the LAAA was performed 3 years later, at the onset of chest pain resulting from compression of adjacent cardiac structures by the LAAA.CONCLUSION:
Surgical resection is recommended for the majority of patients with LAAA because of potential LAAA-related severe outcomes. However, clinical monitoring may be an optional strategy for asymptomatic patients without intra-atrial thrombus or other complications. Precise evaluation with echocardiography and brain magnetic resonance imaging is valuable for the subsequent management of LAAA.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Apêndice Atrial
/
Aneurisma Cardíaco
/
Procedimentos Cirúrgicos Cardíacos
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article