Hostname: page-component-cd9895bd7-mkpzs Total loading time: 0 Render date: 2024-12-29T09:06:55.760Z Has data issue: false hasContentIssue false
  • English
  • Français

Successful resection of giant right atrial appendage aneurysm to cure chaotic atrial tachycardia in a child: case report

Part of: Electrophysiology

Published online by Cambridge University Press:  13 February 2018

Yi Zhang ,
Xiaomei Li  and
Yongqiang Jin
Yi Zhang
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
Xiaomei Li*
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
Yongqiang Jin
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
*
Author for correspondence: X. Li, Tel: 86 10 13910847672; Fax: 86 10 64308261; E-mail: li-xiaomei@mail.tsinghua.edu.cn
Get access Rights & Permissions [Opens in a new window]

Abstract

Right atrial appendage aneurysm is an extremely rare congenital malformation with unknown aetiology. The most common potential complication is atrial arrhythmias including atrial flutter, atrial fibrillation, and atrial tachycardia. These arrhythmias are usually refractory to medication therapy. Radiofrequency catheter ablation has poor efficacy with low success rate and high recurrence rate. Aneurysm resection is the recommended treatment with satisfactory efficacy. We report a child with chaotic atrial tachycardia due to giant right atrial appendage aneurysm who was successfully treated by aneurysm resection.

Keywords

Giant right atrial appendage aneurysmchaotic atrial tachycardiachild
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 5 , May 2018 , pp. 747 - 750
Copyright
© Cambridge University Press 2018 

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

1. Ingram, A, Macfie, JWS. Two further cases of cardiac aneurysm[J]. Ann Trop Med Parasitol 1922; 16: 119–125.Google Scholar
2. Mizui, S, Mori, K, Kuroda, Y. Ectopic atrial tachycardia due to aneurysm of the right atrial appendage[J]. Cardiol Young 2001; 11: 229–232.Google Scholar
3. Sevimli, S, Gundogdu, F, Aksakal, E, et al. A rare congenital anomaly: biatrial appendage aneurysm with atrial and ventricular septal defect[J]. Echocardiography 2007; 24: 987–990.Google Scholar
4. Ulucam, M, Muderrisoglu, H, Sezgin, A. Giant left atrial appendage aneurysm: the third ventricle[J]. Int J Cardiovasc Imaging 2005; 21: 225–230.Google Scholar
5. Ishii, Y, Inamura, N, Kayatani, F. Congenital aneurysm of the right atrial appendage in a fetus[J]. Pediatr Cardiol 2012; 33: 1227–1229.Google Scholar
6. Duran, NE, Ertürk, E, Gündüz, S, et al. Aneurysm of the right appendage in an elderly patient[J]. Arch Turk Soc Cardiol 2009; 37: 122–124.Google Scholar
7. Scalia, GM, Stafford, WJ, Burstow, DJ, et al. Successful treatment of incessant atrial flutter with excision of congenital giant right aneurysm diagnosed by transesophageal echocardigraphy[J]. Am Heart J 1995; 129: 834–835.Google Scholar
8. Yildirim, N, Gölbaşi, Z. Echocardiographic diagnosis of a case with giant right atrial aneurysm[J]. Echocardiography 2006; 23: 140–142.Google Scholar
9. Corti, F, Sciuchetti, JF, Ferro, O, et al. Symptomatic right atrial appendance aneurysm: diagnosis and resection[J]. J Cardiovasc Med (Hagerstown) 2008; 9: 314–316.Google Scholar
10. Gulati, A, Gheta, R, Chan, CF, et al. Longitudinal follow-up of a right atrial appendage aneurysm by cardiac magnetic resonance imaging[J]. Circulation 2011; 123: 2289–2291.Google Scholar