A Giant Left Atrial Appendage Aneurysm With Incessant Atrial Tachycardia
ABSTRACT Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life‐threatening systemic thromboembolism,...
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Published in | Journal of cardiovascular electrophysiology Vol. 36; no. 2; pp. 531 - 534 |
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Format | Journal Article |
Language | English |
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01.02.2025
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Abstract | ABSTRACT
Introduction
Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life‐threatening systemic thromboembolism, and cardiac dysfunction.
Methods and Results
We described a case of a 36‐year‐old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow‐up period of 3 months.
Conclusion
We present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video‐assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful. |
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AbstractList | Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction.INTRODUCTIONLeft atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction.We described a case of a 36-year-old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow-up period of 3 months.METHODS AND RESULTSWe described a case of a 36-year-old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow-up period of 3 months.We present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video-assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful.CONCLUSIONWe present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video-assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful. ABSTRACT Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life‐threatening systemic thromboembolism, and cardiac dysfunction. Methods and Results We described a case of a 36‐year‐old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow‐up period of 3 months. Conclusion We present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video‐assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful. Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life-threatening systemic thromboembolism, and cardiac dysfunction. We described a case of a 36-year-old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow-up period of 3 months. We present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video-assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful. Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA), predisposing the patient to serious complications such as atrial tachyarrhythmias, life‐threatening systemic thromboembolism, and cardiac dysfunction. Methods and Results We described a case of a 36‐year‐old woman with incessant atrial tachycardia (AT) originating from LAAA, which surgical intervention successfully terminated AT after attempted ablation failed. The AT terminated after the LAA was excised. There was no recurrence at the follow‐up period of 3 months. Conclusion We present and discuss the management of rare incessant AT arising from giant LAAA where the localization was confirmed on electroanatomic mapping. LAA resection via video‐assisted thoracoscopic surgery is minimally invasive approach to manage the LAAA AT, uniformly considered safe and successful. |
Author | Wu, Shulin Wei, Hui‐Qiang Liao, Hongtao Xue, Yumei |
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Cites_doi | 10.1016/j.hrthm.2013.10.017 10.1016/j.jacc.2012.06.068 10.1111/echo.12667 10.1016/j.radcr.2022.11.062 10.1016/j.hrthm.2007.06.008 10.1007/s10840-023-01622-9 10.1093/eurheartj/ehq046 10.1016/j.case.2019.01.003 |
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References_xml | – volume: 3 start-page: 129 year: 2019 end-page: 132 article-title: Giant Congenital Left Atrial Appendage Aneurysm Presenting With Recurrent Supraventricular Tachycardia and Chest Pain publication-title: CASE – volume: 31 start-page: 1590 year: 2010 article-title: Atrial Tachycardia in Congenital Left Atrial Appendage Aneurysm: Three‐Dimensional Computed Tomography Imaging With Electro‐Anatomical Mapping publication-title: European Heart Journal – volume: 66 start-page: 1765 year: 2023 end-page: 1768 article-title: A Giant Left Atrial Appendage Aneurysm With Left Atrial Flutter: Feasibility of Catheter Ablation Strategy publication-title: Journal of Interventional Cardiac Electrophysiology – volume: 18 start-page: 805 year: 2023 end-page: 808 article-title: A Giant Left Atrial Appendage Aneurysm With Recurrent Chest Tightness and Atrial Tachycardia: Multimodal Imaging Findings publication-title: Radiology Case Reports – volume: 11 start-page: 17 year: 2014 end-page: 25 article-title: Management of Focal Atrial Tachycardias Originating From the Atrial Appendage With the Combination of Radiofrequency Catheter Ablation and Minimally Invasive Atrial Appendectomy publication-title: Heart Rhythm: The Official Journal of the Heart Rhythm Society – volume: 4 start-page: 1284 year: 2007 end-page: 1291 article-title: Electrophysiologic and Electrocardiographic Characteristics and Radiofrequency Catheter Ablation of Focal Atrial Tachycardia Originating From the Left Atrial Appendage publication-title: Heart Rhythm: The Official Journal of the Heart Rhythm Society – volume: 31 start-page: 1312 year: 2014 end-page: 1318 article-title: Left Atrial Appendage Aneurysm: A Systematic Review of 82 Cases publication-title: Echocardiography – volume: 61 start-page: 478 year: 2013 article-title: Giant Congenital Left Atrial Appendage Aneurysm publication-title: Journal of the American College of Cardiology – ident: e_1_2_8_7_1 doi: 10.1016/j.hrthm.2013.10.017 – ident: e_1_2_8_3_1 doi: 10.1016/j.jacc.2012.06.068 – ident: e_1_2_8_2_1 doi: 10.1111/echo.12667 – ident: e_1_2_8_5_1 doi: 10.1016/j.radcr.2022.11.062 – ident: e_1_2_8_8_1 doi: 10.1016/j.hrthm.2007.06.008 – ident: e_1_2_8_9_1 doi: 10.1007/s10840-023-01622-9 – ident: e_1_2_8_4_1 doi: 10.1093/eurheartj/ehq046 – ident: e_1_2_8_6_1 doi: 10.1016/j.case.2019.01.003 |
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Snippet | ABSTRACT
Introduction
Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial... Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage (LAA),... Introduction Left atrial appendage aneurysm (LAAA) is a rare congenital cardiac anomaly that involves the progressive dilatation of the left atrial appendage... |
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SubjectTerms | Action Potentials Adult Aneurysm Atrial Appendage - abnormalities Atrial Appendage - diagnostic imaging Atrial Appendage - physiopathology Atrial Appendage - surgery atrial tachycardia Catheter Ablation Electrophysiologic Techniques, Cardiac Female Heart Aneurysm - complications Heart Aneurysm - diagnosis Heart Aneurysm - diagnostic imaging Heart Aneurysm - physiopathology Heart Aneurysm - surgery Heart Rate Humans left atrial appendage Localization surgery Tachycardia Tachycardia, Supraventricular - diagnosis Tachycardia, Supraventricular - etiology Tachycardia, Supraventricular - physiopathology Tachycardia, Supraventricular - surgery Thoracic Surgery, Video-Assisted Thromboembolism Treatment Outcome |
Title | A Giant Left Atrial Appendage Aneurysm With Incessant Atrial Tachycardia |
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