Cardiac Vignette: Giant Left Atrial Appendage Aneurysm

Incremental benefit of three‐dimensional transthoracic echocardiography in the assessment of left atrial appendage aneurysm leading to severe extrinsic compression of a coronary artery

“…Incremental benefit of three-dimensional transthoracic echocardiography in the assessment of left atrial appendage aneurysm leading to severe extrinsic compression of a coronary artery in the proximal left anterior descending coronary artery (LAD) (Table 3). [13][14][15][16][17] In our case, 2DTTE was useful in the diagnosis of LAA AN. It also demonstrated severe LAD narrowing which could explain the pa- Localized outpouching or marked enlargement of LAA.…”

“…However, only a few reports in the literature have described the use of 3D echocardiography in the assessment of this cardiac pathology with scant information of the incremental value of the technique over 2D imaging. (Table ) . In our case, 2DTTE was useful in the diagnosis of LAA AN.…”

“…We describe a patient with LAA AN presenting with typical anginal chest pain in whom live/real time three‐dimensional transthoracic echocardiography (3DTTE) provided incremental benefit over conventional two‐dimensional transthoracic echocardiography (2DTTE) in more comprehensively assessing the lesion. In addition, we have surveyed the literature and summarized the salient features of LAA AN in a tabular form (Tables ) …”

Huge left atrial appendage aneurysm revealed by chronic hiccups

“…LAA aneurysm is an extremely rare cardiac anomaly with no more than hundred cases reported around the world [1]. Of the reported cases, only about two-fifth are congenital.…”

Case Report: Giant Congenital Left Atrial Appendage Aneurysm Presenting With Acute Massive Cerebral Infarction and Refractory Atrial Fibrillation: A Case Report and Literature Review

“…A lot of LAAAs were asymptomatic and were discovered incidentally during echocardiographic exams ( 4 , 5 ). Others developed symptoms or signs after the second to third decade of life, such as palpitations, chest pain, dyspnea on exertion, and atrial tachyarrhythmia ( 6 – 9 ). A small percentage of patients were diagnosed after complications, mainly systemic thromboembolism ( 10 – 14 ).…”