Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 246-247, June 2008

Left Atrial Appendage Aneurysm: A Rare Cause of Paroxysmal Supraventricular Tachycardia

  • Aliakbar Soleimani, MD

      Affiliations

    • Corresponding Author InformationCorresponding author at: Cardiac Surgery Operating Room, Imam Khomeini Hospital, Keshavarz Blvd., Tehran 1419731351, Iran. Tel.: +98 912 1480625; fax: +98 21 66438634.
    • ,
  • Roya Sattarzadeh, MD

Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran

Received 24 December 2006; received in revised form 28 February 2007; accepted 18 April 2007.

Left atrial appendage aneurysm is a rare abnormality and a diagnostic dilemma in patients with cardiomegaly. Patients most commonly present with atrial tachyarrhythmias and thromboembolic events. Resection of the aneurysm is usually curative. We report herein the case of a 27-year-old man with massive left atrial appendage aneurysm diagnosed incidentally in the course of pre-operative evaluation for a non-cardiac surgery. The marked cardiomegaly detected in a routinely ordered pre-operative chest X-ray and the history of previous episodes of palpitation accompanied by chest discomfort guided us to the diagnosis. The diagnosis was made by transthoracic echocardiography and confirmed by angiography and then surgery.

Keywords: Heart aneurysm, Left atrial appendage, Supraventricular tachycardia

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PII: S1443-9506(07)00200-4

doi:10.1016/j.hlc.2007.04.004

Heart, Lung and Circulation
Volume 17, Issue 3 , Pages 246-247, June 2008

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