Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-28T00:14:44.293Z Has data issue: false hasContentIssue false

Safe treatment of congenital left atrial appendage aneurysm using lateral thoracotomy on a 3-year-old patient

Published online by Cambridge University Press:  29 October 2020

Fan Fan
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Song Bai*
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Feng Tong
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Jia Zheng
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Qilin Li
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Zhangke Guo
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Xiaofeng Li
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
*
Author for correspondence: Dr Song Bai, Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China. Tel: +86-18910550899; Fax: +86-010-59718650. E-mail: xzwkbs@126.com

Abstract

Limited literatures report the management of congenital left atrial appendage aneurysm (LAAA) which is extremely rare. Chest X-ray firstly showed an enlarged left cardiac silhouette for a 3-year-old patient with pneumonia. Echocardiography and magnetic resonance imaging confirmed a large cyst attached to the left atrium. Aneurysmectomy was performed through lateral thoracotomy using step-by-step method and under the guidance of transoesophageal echocardiography. We aim to show the safety and efficacy of this approach applied to children associated with congenital LAAA.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Chowdhury, UK, Seth, S, Govindappa, R, Jagia, P, Malhotra, P. Congenital left atrial appendage aneurysm: a case report and brief review of literature. Heart Lung Circ 2009; 18: 412416.CrossRefGoogle ScholarPubMed
Hosseini, S, Hashemi, A, Saedi, S, et al. Left atrial appendage aneurysm. Ann Thorac Surg 2016; 102: e207e209.CrossRefGoogle ScholarPubMed
Yakut, K, Varan, B, Erdoğan, İ. Asymptomatic giant congenital left atrial appendage aneurysm. Turk J Pediatr 2019; 61: 117119.Google Scholar
Baburaj, AK, Rameshwara, T, Vellachamy, KA, Vettath, MP. Off-pump excision of left atrial appendage aneurysm: a case report. Heart Surg Forum 2006; 9: E478E479.Google ScholarPubMed
Zhao, J, Ge, Y, Yan, H, Pan, Y, Liao, Y. Treatment of congenital aneurysms of the left atrium and left atrial appendage. Tex Heart Inst J 1999; 26: 136139.Google ScholarPubMed
Di Bardino, DJ, Aggarwal, A, Knudson, JD. Off-pump snare technique for congenital left atrial appendage aneurysm. Cardiol Young 2014; 24: 555558.CrossRefGoogle Scholar