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Large congenital left atrial wall aneurysm: An updated and comprehensive review of the literature

Ghina Fakhri1, Mounir Obeid2, Issam El Rassi2

  • 1Division of Cardiology, Department of Pediatrics and Adolescent Medicine, American University of Beirut Medical Center, Beirut, Lebanon.

Echocardiography (Mount Kisco, N.Y.)
|May 20, 2020
PubMed

Insights

Congenital left atrial wall aneurysms are rare heart defects. Early surgical correction is vital for survival in affected children, preventing serious complications from delayed diagnosis.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • Congenital left atrial wall aneurysms are rare developmental defects originating from muscular wall weakness.
  • These abnormalities can be challenging to diagnose, potentially leading to severe outcomes if undetected.
  • Historically, left atrial aneurysms were associated with other cardiac conditions, unlike congenital forms.

Observation:

  • A literature review focused on pediatric patients (<18 years) with congenital left atrial wall aneurysms.
  • Fifteen cases, including a new case, were analyzed.
  • A 10-month-old boy with cardiomegaly was diagnosed with a large left atrial wall aneurysm.

Findings:

  • The 10-month-old patient's atrial aneurysm was successfully treated with surgery.
  • The review identified a total of 15 pediatric cases of congenital left atrial wall aneurysms.
  • Congenital aneurysms arise independently of acquired cardiac diseases.

Implications:

  • Prompt diagnosis and surgical intervention are critical for improving survival rates in pediatric congenital left atrial wall aneurysms.
  • Understanding the congenital nature of these aneurysms is key to appropriate management.
  • This review highlights the importance of considering congenital causes for atrial abnormalities in children.
Abstract

Keywords:
aneurysmcongenital heart defectsleft atrium

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