Heart, Lung and Circulation
Volume 18, Issue 6 , Pages 412-416 , December 2009

Congenital Left Atrial Appendage Aneurysm: A Case Report and Brief Review of Literature

  • Ujjwal K. Chowdhury, MCh, Diplomate NB

      Affiliations

    • Department of Cardiothoracic Surgery, AIIMS, New Delhi, India
    • Corresponding Author InformationCorresponding author at: Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Tel.: +91 11 26588700/26588500x4835; fax: +91 11 26588663/26588641.
  • ,
  • Sandeep Seth, DM

      Affiliations

    • Department of Cardiology, AIIMS, New Delhi, India
  • ,
  • Raghu Govindappa, MCh

      Affiliations

    • Department of Cardiothoracic Surgery, AIIMS, New Delhi, India
  • ,
  • Priya Jagia, DM

      Affiliations

    • Department of Cardiac Radiology, AIIMS, New Delhi, India
  • ,
  • Poonam Malhotra, MD, Diplomate NB

      Affiliations

    • Department of Cardiac Anaesthesia, AIIMS, New Delhi, India

Received 27 August 2007 ,Revised 5 May 2008 ,Accepted 3 October 2008.

References 

  1. Victor S, Nayak VM. Aneurysm of the left atrial appendage. Texas Heart Inst J. 2001;28:111–118
  2. Pomerantzeff PM, Freyre HM, de Almeida Brandão CM, Pereira Barreto AC, Almeida de Oliveira S. Aneurysm of the left atrial appendage. Ann Thorac Surg. 2002;73:1981–1983
  3. Badui E, Delgado C, Enciso R, Graef A, Solorio S, Madrid R, et al. Silent giant left atrium: Case report. Angiology. 1995;46:445–448
  4. Terada H, Tanaka Y, Kashima K, Sannou K, Arima T. Atrial diverticulum associated with severe mitral regurgitation. Jpn Circ. 2000;64:474–476
  5. Wagshal AB, Applebaum A, Crystal P, Goldfarb B, Erez A, Tager S, et al. Atrial tachycardia as the presenting sign of a left atrial appendage aneurysm. Pacing Clin Electrophysiol. 2000;23:283–285
  6. Hall J, Dobbs RH. Central emboli from aneurysm of left atrial appendage. Proc R Soc Med. 1969;61:911
  7. Foale RA, Gibson TC, Guyer DE, Gillam L, King ME, Weyman AE. Congenital aneurysms of the left atrium: recognition by cross-ectional echocardiography. Circulation. 1982;66:1065–1069
  8. Comess KA, Labate DP, Winter JA, Hill AC, Miller DC. Congenital left atrial appendage aneurysm with intact pericardium: diagnosis by transesophageal echocardiography. Am Heart J. 1990;120:992–996
  9. Burke RP, Mark JB, Collins JJ, Cohn LH. Improved surgical approach to left atrial appendage aneurysm. J Card Surg. 1992;7:104–107
  10. de Feyter PJ, Zienkowicz BS, Heidendal GA, Majid PA, Roos JP. Radionuclide angiography in the diagnosis of congenital intrapericardial aneurysm of the left atrial appendage. Thorax. 1980;35:154–155
  11. Chen MC, Chang JP, Guo GB, Chang HW. Atrial size reduction as a predictor of the success of radiofrequency ablation procedure for chronic atrial fibrillation in patients undergoing concomitant valvular surgery. J Cardiovasc Electrophysiol. 2001;12:867–874
  12. Gold JP, Afifi HY, Ko W, Horner N, Hahn R. Congenital giant aneurysms of the left atrial appendage: diagnosis and management. J Card Srug. 1996;11:147–150
  13. Hoffmann U, Hamed N, Herold C, Globits S. Radiological signs of a left atrial aneurysm. Eur Radiol. 2000;10:1332–1334
  14. Schiavone WA, O’Donnell JK. Congenital absence of the left portion of parietal pericardium demonstrated by nuclear magnetic resonance imaging. Am J Cardiol. 1995;55:1438–1439
  15. Williams WG. Dilatation of the left atrial appendage. Br Heart J. 1963;25:643
  16. Ingram A, Macfie JWS. Two further cases of cardiac aneurysm. Ann Trop Med Parasitol. 1922;16:119–125
  17. Bramlet DA, Edward JE. Congenital aneurysm of left atrial appendage. Br Heart J. 1981;45:97–100
  18. LaBarre TR, Stamato NJ, Hwang MH, Jacobs WR, Stephanides L, Scanlon PJ. Left atrial appendage aneurysm with associated anomalous pulmonary venous drainage. Am Heart J. 1987;114:1243–1245
  19. 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
  20. Ulucam M, Muderrisoglu H, Sezgin A. Giant left atrial appendage aneurysm: the third ventricle. Int J Cardiovasc Imaging. 2005;21:225–230
  21. Moreno-Martínez FL, González Alfonso O, Lagomasino Hidalgo AL, González Díaz A, Oliva Céspedes C, López Bernal OJ. Huge aneurysm of the left atrial appendage. Arch Cardiol Mex. 2006;76:90–94
  22. Yaliniz H, Salih OK, Alhan C, Gocen U, Tokcan A. Congenital intrapericardial left atrial appendage aneurysm. J Cardiovasc Surg (Torino). 2007;48:109–111
  23. Acarturk E, Kanadasi M, Yerdelen VD, Akpinar O, Ozeren A, Saygili OB. Left atrial appendage aneurysm presenting with recurrent embolic strokes. Int J Cardiovasc Imaging. 2003;19:297–395
  24. Baburaj AK, Rameshwara T, Vellachamy KA, Vettath MP. Off-pump excision of left atrial appendage aneurysm: a case report. Heart Surg Forum. 2006;8:E478–E479
  25. Zhao J, Ge Y, Yan H, Pan Y, Liao Y. Treatment of congenital aneurysms of the left atrium and left atrial appendage. Tex Heart Inst J. 1999;26(2):136–139
  26. Mathur A, Zehr KJ, Sina KLJ, Rea RF. Left atrial appendage aneurysm. Ann Thorac Surg. 2005;79:1392–1393

PII: S1443-9506(08)00917-7

doi: 10.1016/j.hlc.2008.10.015

Heart, Lung and Circulation
Volume 18, Issue 6 , Pages 412-416 , December 2009