Intrapericardial left atrial aneurysm

Congenital intrapericardial aneurysms of the left atrium.

“…These are lesions which must be considered in all patients who have abnormal left cardiac shadows, particularly if they present with attacks of palpitation. Nine of the 16 reported cases Pitts and Potts, 1962;Williams, 1963;Parker et al, 1967;Godwin et al, 1968;Behrendt and Aberdeen, 1972;Eie et al, 1972;Hansen et al,1974) and our own had unusually shaped hearts (Fig. 1) and yet a correct preoperative diagnosis was made in only five Godwin et al, 1968;Eie et al, 1972;Hansen et al, 1974) including our patient.…”

“…Nine of the 16 reported cases Pitts and Potts, 1962;Williams, 1963;Parker et al, 1967;Godwin et al, 1968;Behrendt and Aberdeen, 1972;Eie et al, 1972;Hansen et al,1974) and our own had unusually shaped hearts (Fig. 1) and yet a correct preoperative diagnosis was made in only five Godwin et al, 1968;Eie et al, 1972;Hansen et al, 1974) including our patient. Most of these patients have been wrongly diagnosed as having cardiac or mediastinal tumours Williams, 1963;Hebert et al, 1965;Saint-Florent et al, 1967;MacLeod et al, 1970;Behrendt and Aberdeen, 1972), left ventricular aneurysms Behrendt and Aberdeen, 1972;Eie et al, 1972) or pericardial cyst ).…”

“…-If the lesion is suspected, angiocardiography offers the means of obtaining confirmatory evidence Parker et al, 1967;Godwin et al, 1968;Varghese et al, 1969;Sanderud et al, 1971;Eie et al, 1972;Hansen et al, 1974).…”

“…A patient with this congenital anomaly, observed over a period of ten years and recognized preoperatively, is now described. The diagnosis and management of this lesion, which appears to cause systemic emboli Williams, 1963;Behrendt and Aberdeen, 1972;Eie et al, 1972) and paroxysmal or persistent atrial tachyarrhythmias Palacio et al, 1960;Pitts and Potts, 1962;Parker, Connell, and Lynn, 1967;Saint-Florent et al, 1967;Godwin et al, 1968;Varghese et al, 1969;MacLeod et al, 1970;Sanderud et al, 1971;Eie et al, 1972;Hansen, Rygg, and Efsen, 1974), which may prove refractory to medical treatment Godwin et al, 1968;Varghese et al, 1969;MacLeod et al, 1970;Eie et al, 1972;Hansen et al, 1974), are discussed and the literature is reviewed.…”

Defeito do anel fibroso mitral posterior com aneurisma de átrio esquerdo e insuficiência mitral: tratamento cirúrgico com sucesso

“…Freqüentemente, esses aneurismas são assintomá-ticos, mas podem apresentar, como complicações, sinais de insuficiência cardíaca, arritmias ou embolias sistêmicas. A possibilidade de ocorrência de tais complicações faz com que a intervenção cirúrgica seja o tratamento de escolha (4)(5)(6) .…”