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Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
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Incidentally detected congenital giant left atrial appendage aneurysm in a child: MRI findings

A Oz, B Oguz, M Karcaaltincaba

    JBR-BTR : Organe De La Societe Royale Belge De Radiologie (SRBR) = Orgaan Van De Koninklijke Belgische Vereniging Voor Radiologie (KBVR)
    |April 29, 2014
    PubMed

    Insights

    Left atrial appendage aneurysms are rare congenital heart anomalies. This case highlights the incidental diagnosis and successful surgical treatment of a giant aneurysm in a 3-year-old child, preventing serious complications.

    Area of Science:

    • Cardiology
    • Congenital Heart Disease
    • Pediatric Cardiology

    Background:

    • Left atrial appendage aneurysms (LAAAs) are rare congenital cardiac anomalies.
    • Most LAAAs are diagnosed in adulthood, with childhood diagnosis being infrequent.
    • Potential life-threatening complications necessitate timely diagnosis and intervention.

    Observation:

    • A 3-year-old boy presented with an incidentally discovered giant left atrial appendage aneurysm.
    • Diagnosis was confirmed using magnetic resonance imaging (MRI).

    Findings:

    • Surgical excision was performed successfully.
    • The surgery aimed to mitigate risks including cardiac arrest, respiratory distress, arrhythmia, heart failure, thromboembolism, and rupture.

    Implications:

    • This case underscores the importance of considering LAAAs even in young children.
    • Early surgical intervention for LAAAs in pediatric patients can prevent severe morbidity and mortality.
    • Highlights the role of advanced imaging like MRI in diagnosing these rare conditions.

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