Resection of a Congenital Left Atrial Appendage Aneurysm without Extracorporeal Circulation.
- Author:
Yong Ho KIM
1
;
Jae Hyeon YU
;
Seok Ki LEE
;
Shin Kwang KANG
;
Seung Pyung LIM
;
Young LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, College of Medicine, Chungnam National University, Korea. jahyu@cnu.ac.kr
- Publication Type:Case Report
- Keywords:
Aneurysm;
Heart atrium;
Congenital heart disease
- MeSH:
Aneurysm;
Atrial Appendage;
Atrial Fibrillation;
Extracorporeal Circulation;
Heart Arrest;
Heart Atria;
Humans;
Sternotomy;
Tachycardia, Supraventricular;
Thoracotomy;
Thrombosis
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2009;42(2):244-247
- CountryRepublic of Korea
- Language:Korean
-
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.
