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Aneurysm of the left atrial appendage
Clinical Cardiology
|February 1, 1979
Summary
A giant aneurysm of the left atrial appendage was discovered in a 2-year-old girl. Surgical excision was successfully performed, resolving the cardiac anomaly.
Area of Science:
- Cardiology
- Cardiac Surgery
- Pediatric Cardiology
Background:
- Congenital heart anomalies can present subtly in asymptomatic children.
- Aneurysms of the left atrial appendage are rare cardiac pathologies.
Observation:
- A chest X-ray revealed a significantly distorted cardiac silhouette in a 2-year-old girl.
- Angiocardiography confirmed a giant aneurysm originating from the left atrium.
Findings:
- Intraoperative findings revealed an intrapericardial aneurysm of the left atrial appendage, measuring 12 x 4 x 4 cm.
- The aneurysm had a 3 cm communication with the left atrium.
Implications:
- This case highlights the importance of thorough cardiac evaluation even in asymptomatic pediatric patients.
- Surgical excision is an effective treatment for giant left atrial appendage aneurysms.
- Early diagnosis and intervention can prevent potential complications associated with cardiac aneurysms.