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Congenital aneurysm of the left atrial wall in infancy
K S Stone1, J W Brown, D Canal
1Department of Surgery, Indiana University Medical Center, Indianapolis 46223.
The Annals of Thoracic Surgery
|March 1, 1990
Insights
A rare congenital left atrial aneurysm was found in a 5-month-old infant, significantly younger than previously reported cases. This infant experienced severe mitral insufficiency and acute cardiac decompensation.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Congenital Heart Disease
Background:
- Congenital left atrial aneurysm is a rare cardiac malformation.
- Previous reports indicate diagnosis in older children, typically after 2 years of age.
Observation:
- A 5-month-old male infant presented with symptoms suggestive of cardiac distress.
- Echocardiography revealed a significant congenital left atrial aneurysm.
Findings:
- This case represents the youngest infant diagnosed with a congenital left atrial aneurysm to date.
- The infant exhibited severe mitral insufficiency and acute cardiac decompensation, unusual for this condition in infancy.
Implications:
- This case highlights the importance of considering congenital left atrial aneurysm in infants presenting with cardiac decompensation.
- Early diagnosis and management may be crucial for improving outcomes in affected infants.
- Further research is needed to understand the natural history and optimal treatment strategies for congenital left atrial aneurysms in neonates and infants.
Abstract:
A 5-month-old male infant with congenital left atrial aneurysm is reported. The youngest patient previously reported was 2 1/2 years old. This case is unusual because the patient was an infant and because of the degree of mitral insufficiency and acute cardiac decompensation observed in the patient.