Right Atrial Appendage Aneurysm Resection to Cure Aneurysm-Related Atrial Tachyarrhythmia

Zeng, Yi; Li, Xiaomei; Jiang, He; Jin, Yiying; Zhang, Fuqiang; Liu, Haiju; Ge, Haiyan

doi:10.1007/s00246-019-02117-z

Cited by 7 publications

(12 citation statements)

References 16 publications

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“…The left atrial appendage aneurysm is more common than the right in the literature after birth, and the ratio of left to right atrial appendage aneurysm is ten to three. 1,8,12 However, the detection rates of the two groups were similar in our center, which was prominently different from children and adults. This difference may result from that children or adults having isolated atrial appendage aneurysm usually are asymptomatic and not detected in early life.…”

Section: Discussionmentioning

confidence: 59%

“…1 However, there is no study that can confirm the origin of atrial arrhythmias from the aneurysm by electrophysiology. While, several types of atrial arrhythmias have been identified in patients with right atrial appendage aneurysm, 8 including atrial flutter, atrial fibrillation, focal atrial tachycardia, and supraventricular tachycardia. And two cases with the presence of the right aneurysm presented earliest endocardial activation site was apex of right atrial appendage.…”

Section: Discussionmentioning

confidence: 99%

“…And two cases with the presence of the right aneurysm presented earliest endocardial activation site was apex of right atrial appendage. 8 Two fetuses with arrhythmia were detected in the right atrial appendage aneurysm group, one of which presented with atrial tachyarrhythmia around the time of birth. Therefore, right atrial appendage aneurysm with atrial tachyarrhythmia might exist or develop during the fetal period or childhood.…”

Section: Discussionmentioning

confidence: 99%

“…There is no risk of intrauterine fetal death for atrial appendage aneurysm both in previous researches and our study. 6,8 Most infants are asymptomatic. Palpitation is reported as the most common symptom related to atrial appendage aneurysm, is always caused by atrial tachyarrhythmia.…”

Section: Discussionmentioning

confidence: 99%

“…6,7 However, there are only limited cases of fetal atrial appendage aneurysm in literature and prognosis of those fetuses is still unknown. 1,8,9 In this study, we summarized our data of fetal atrial appendage aneurysm in our center to identify the echocardiographic characteristics and prognosis of those group.…”

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confidence: 99%

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Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

et al. 2021

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Section: Discussionmentioning

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

et al. 2021

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Spinal osteophyte as a possible source of left atrial tachycardia

P¹,

Szilveszter²,

Perge³

et al. 2023

HeartRhythm Case Reports

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The ‘Cauliflower Heart’: a case report of congenital bi-atrial aneurysms causing non-controllable arrhythmia

Stoller

Glöckler

Kadner

et al. 2020

European Heart Journal - Case Reports

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Background Congenital aneurysms of the atrium are very rare malformations. Known complications are therapy-resistant arrhythmias. Different treatments such as medical therapy, electrophysiological ablation, and surgery have been proposed. However, there are no guidelines on treatment. Case summary We describe the case of a neonate with bi-atrial aneurysms causing atrial arrhythmia. Arrhythmia was first observed in the 28th week of gestation. Maternal digoxin treatment did not show any effect. After birth, bi-atrial aneurysms were diagnosed and determined as the probable cause of the atrial tachycardia and later of atrial flutter. Antiarrhythmic drug treatment was initiated. However, only frequency control could be achieved. At the age of 7 months, the patient underwent surgical resection. Since surgery, sinus rhythm is present. Conclusion Atrial aneurysms are rare malformations, known complications are atrial arrhythmia. If medical treatment fails, surgery correction appears to be indicated going along with low operative risk and a high probability of successful termination of arrhythmia.

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Right Atrial Appendage Aneurysm Resection to Cure Aneurysm-Related Atrial Tachyarrhythmia

Cited by 7 publications

References 16 publications

Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

Fetal atrial appendage aneurysm: Prenatal diagnosis by echocardiography and prognosis

Spinal osteophyte as a possible source of left atrial tachycardia

The ‘Cauliflower Heart’: a case report of congenital bi-atrial aneurysms causing non-controllable arrhythmia

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