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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 ,
Song Bai Open the ORCID record for Song Bai [Opens in a new window] ,
Feng Tong ,
Jia Zheng ,
Qilin Li ,
Zhangke Guo  and
Xiaofeng Li
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
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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.

Keywords

Congenital heart diseaseleft atrial appendage aneurysmcardiac surgery
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 1 , January 2021 , pp. 144 - 147
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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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: 412–416.CrossRefGoogle ScholarPubMed
Hosseini, S, Hashemi, A, Saedi, S, et al. Left atrial appendage aneurysm. Ann Thorac Surg 2016; 102: e207–e209.CrossRefGoogle ScholarPubMed
Yakut, K, Varan, B, Erdoğan, İ. Asymptomatic giant congenital left atrial appendage aneurysm. Turk J Pediatr 2019; 61: 117–119.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: E478–E479.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: 136–139.Google ScholarPubMed
Di Bardino, DJ, Aggarwal, A, Knudson, JD. Off-pump snare technique for congenital left atrial appendage aneurysm. Cardiol Young 2014; 24: 555–558.CrossRefGoogle Scholar