Resolution of Thrombi in Left Atrial Appendage Aneurysm

Karatasakis, George; Beldekos, Demetrios I.; Makos, George S.; Sfirakis, P.; Cokkinos, Dennis V.

doi:10.1111/j.1540-8175.1997.tb00705.x

Cited by 3 publications

(3 citation statements)

References 5 publications

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“…In infants or children, the aneurysm can be the cause of cardiac arrest, respiratory distress, or heart failure (14). A left atrial aneurysm is associated with life-threatening complications, such as tamponade ( 14), tachyarrhythmias (12), systemic and pulmonary embolization (15), and congestive cardiac failure. Stasis in the aneurysmal cavity accounts for the thrombosis and systemic embolization (3).…”

Section: Discussionmentioning

confidence: 99%

Giant congenital intrapericardial left atrial aneurysm diagnosed by contrast-enhanced computed tomography

et al. 2006

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A left atrial aneurysm is a rare cardiac anomaly. The etiology is usually congenital, but it can also occur as an acquired pathology secondary to mitral valve disease or a degenerative process. We report a case which, on routine PA chest radiography, presented as cardiomegaly with a bulge on the left cardiac contour. Further evaluation by contrast-enhanced computed tomography proved it to be caused by a large left atrial aneurysm.

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Section: Discussionmentioning

confidence: 99%

Giant congenital intrapericardial left atrial aneurysm diagnosed by contrast-enhanced computed tomography

et al. 2006

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“…Transesophageal echocardiography is a useful diagnostic imaging modality because of the usual posterior location of the aneurysm. Moreover, the presence of thrombi and the in-and-out flow through the orifice can be observed (10,11). Magnetic resonance imaging is also useful for establishing a diagnosis with the use of a coronal imaging plane (12).…”

Section: Discussionmentioning

confidence: 99%

“…In this case, angiography was performed to exclude any associated cardiac lesions and to define the exact size of the aneurysm. A left atrial aneurysm is commonly associated with lifethreatening complications, such as tamponade (7), tachyarrhythmias (13,14), systemic and pulmonary embolization (11,15), and congestive heart failure (7,16). The aneurysm can grow, which increases the risk of complications.…”

Section: Discussionmentioning

confidence: 99%

Incidentally Found, Growing Congenital Aneurysm of the Left Atrium

et al. 2003

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A left atrial aneurysm is a very rare cardiac anomaly that usually develops in the left atrial appendage. It usually develops congenitally, and has a risk of life-threatening complications. Here, we report a case of a growing aneurysm of the left atrium that was incidentally found in a 42-yr-old woman. Eighteen years prior, an abnormal cardiomegaly was found on a chest radiography for a pre-operative study. The chest radiography at this time demonstrated a more prominent cardiomegaly than the previous radiography findings. The left atrial aneurysm was diagnosed by echocardiography and cardiac catheterization. Although asymptomatic, she underwent a successful surgical excision to allay the possibilities of rupture, arrhythmia, heart failure, or thromboembolism. The surgical findings demonstrated an 8 x 15 cm sized saccular aneurysm at the left atrial appendage, and the pathologic findings showed three myocardial layers. The patient has been asymptomatic during the 15 months of follow-up. In conclusion, a congenital left atrial aneurysm can grow with time, even in asymptomatic cases, and an aneurysmectomy is a curative treatment, which can eliminate the potential complications.

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