Five chambered heart or large atrial appendage aneurysm: A report of two cases

BACKGROUND: Isolated intrapericardial LAA aneurysm is a rare cardiac anomaly which manifests with angina, dyspnea on exertion (DOE), systemic embolization, arrhythmia, and congestive heart failure. CASE REPORT: A 30-year-old female and a 46-year-old male were referred for evaluation of abnormal card...

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Detalles Bibliográficos
Autores principales: Mirmohammadsadeghi, Mohsen, Kiani, Yalda, Nasr, Ali, Zavvar, Reihaneh, Behjati, Mohaddeseh, Rabbani, Majid, Majidi, Elham, Mirmohammadsadeghi, Poya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Isfahan Cardiovascular Research Center, Isfahan University of Medical Sciences 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3681275/
https://www.ncbi.nlm.nih.gov/pubmed/23766780
Descripción
Sumario:BACKGROUND: Isolated intrapericardial LAA aneurysm is a rare cardiac anomaly which manifests with angina, dyspnea on exertion (DOE), systemic embolization, arrhythmia, and congestive heart failure. CASE REPORT: A 30-year-old female and a 46-year-old male were referred for evaluation of abnormal cardiac contour on chest radiograph and echocardiographic findings and non-specific symptoms. Transesophageal echocardiography suggested left atrial appendage (LAA) mass filled with clots. The mass had no compression on cardiac chambers and global ejection fraction was within normal limits. The intraoperative diagnosis was isolated congenital LAA aneurysm. After confirmation of the diagnosis, it was resected. She was discharged with uneventful postoperative course. At follow-up she was asymptomatic. CONCLUSION: These cases demonstrate the role of on-time surgical approaches in the prevention of fatal complication of this rare cardiac anomaly.

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