Congenital intrapericardial aneurysms of the left atrium.

Abstract

. (1975). Thorax, 30,[102][103][104][105][106][107][108][109]. Congenital intrapericardial aneurysms of the left atrium. A patient with congenital intrapericardial aneurysm/diverticulum of the left atrium diagnosed preoperatively is described. A review of the 16 previously reported cases revealed that the majority of the patients present with palpitation and are found to have an abnormal cardiac shadow on chest radiography, as did this patient. The aneurysm appears to cause systemic emboli and paroxysmal or persistent atrial tachyarrhythmias which are often resistant to medical therapy. The presence of the aneurysm is suggested by an abnormal contour of the left cardiac border in the postero-anterior chest radiograph and this can be confirmed by angiocardiography. Surgical excision of the aneurysm is indicated in all patients to prevent the occurrence or recurrence of systemic emboli and atrial arrhythmias. Our patient has remained free of symptoms since her operation 14 months ago.

A Novel Technique of Repair of Congenital Left Atrial Appendage Aneurysm using Bovine Pericardial Patch

“…Physical examination is often unrevealing [1][2][3][17][18][19][20][21][22][23][24][25][26][27][28]. A chest roentogenogram may show a non-specific cardiomegaly with an unusually prominent left heart border [19,[29][30][31]. Radiologically, a left atrial appendage aneurysm must be differentiated from other diagnoses such as congenital deficit of the pericardium with atrial herniation, mitral valve pathology causing atrial dilatation, juxta position of the atrial appendages, pericardial cyst, mediastinal mass or cardiac tumour [1-3, 19, 29-31].…”

Giant left atrial aneurysm

“…Isolated localized LA aneurysms are rare entities in clinical practice. Usually, the condition is diagnosed in the second to fourth decades of life [2,3]. There are limited reported cases in childhood as well [4].…”

Phình tiểu nhĩ trái khổng lồ bẩm sinh

“…Phình tiểu nhĩ trái đơn độc rất hiếm gặp trên lâm sàng, thường được chẩn đoán trong khoảng từ 20-40 tuổi [2], [3]. Có rất ít báo cáo phình tiểu nhĩ trái phát hiện ở trẻ em [4].…”

“…Điện tâm đồ ngay sau mổ có nhịp xoang (hình 6). Bệnh nhân ra viện sau 1 tuần, triệu chứng lâm sàng bình thường 3.…”