Giant congenital intrapericardial left atrial appendage aneurysm: about a case and review of the literature

Left atrial appendage aneurysm is a very rare heart anomaly. It may be congenital or acquired, secondary to inflammatory or degenerative processes. Most cases are asymptomatic. The prevalence of these lesions in pediatric age has been very rarely reported. As it can cause potentially fatal arrhythmi...

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Published inThe Pan African medical journal Vol. 24; p. 225
Main Authors Zhari, Bouchra, Bellamlih, Habib, Boumdine, Hassan, Amil, Touriya, Bamous, Mehdi, En-Nouali, Hassan
Format Journal Article
LanguageFrench
Published Uganda 2016
Subjects
Adolescent
Atrial Appendage - diagnostic imaging
Atrial Appendage - pathology
Coronary Angiography - methods
Dizziness - etiology
Dyspnea - etiology
Heart Aneurysm - congenital
Heart Aneurysm - diagnostic imaging
Humans
Male
Syncope - etiology
Left atrial appendage aneurysm
coronary CT angiography
cardiac malformation
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Summary:Left atrial appendage aneurysm is a very rare heart anomaly. It may be congenital or acquired, secondary to inflammatory or degenerative processes. Most cases are asymptomatic. The prevalence of these lesions in pediatric age has been very rarely reported. As it can cause potentially fatal arrhythmias or thrombus, surgery is required immediately after diagnosis. This study reports the case of a 14-year-old boy with rapidly progressive dyspnea, palpitations, sensation of repetitive dizziness and fainting, in whom congenital left atrial appendage aneurysm was detected. Diagnosis was based on coronary CTA data. The patient was successfully treated with surgical resection of the aneurysm.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
content type line 23
ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1937-8688
DOI:10.11604/pamj.2016.24.225.10012