Asymptomatic giant congenital left atrial aneurysm

Congenital aneurysm of the left atrial appendage can be caused by congenitaldysplasia of the pectinate muscles and may be accompanied by a congenitalabsence of the pericardium. Symptoms generally manifest after two decadesand the most common symptom is atrial arrhythmia in the form of atrialfibrillation / flutter. A four year-old patient with no symptoms underwentan echocardiographic examination for the investigation of a heart murmur.Echocardiographic examination revealed a large cystic lesion occupying the lefthemithorax and compressing the left ventricle. The patient was referred toour center. The lesion caused displacement of the heart rightward behind thesternum which made the examination difficult. We aimed to present this rarecase of giant left atrial appendage aneurysm in the light of current literature.

___

1. 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.

2. Mathur A, Zehr KJ, Sinak LJ, Rea RF. Left atrial appendage aneurysm. Ann Thorac Surg 2005; 79: 1392-1393.

3. Acarturk E, Kanadasi M, Yerdelen VD, Akpinar O, Ozeren A, Saygili OB. Left atrial appendage aneurysm presenting with recurrent embolic strokes. Int J Cardiovasc Imaging 2003; 19: 495-497.

4. Conradi G, Deetjen A, Mollmann S, Hamm CW, Dill T. Symptomatic atrial fibrillation as the first symptom of a giant left atrial appendage aneurysm. Clin Res Cardiol 2006; 95: 614-616.

5. Zhang PF, Zhang M, Zhang W, Yao GH, Wu SM, Zhang Y. Giant aneurysm of the left atrial appendage: Detected by real-time 3-dimensional echocardiography. Tex Heart Inst J 2010; 37: 129-130.

6. Lekkerkerker JC, Jaarsma W, Cramer MJ. Congenital giant aneurysm of the left atrial appendage. Heart 2005; 91: e21.

7. Kunishima T, Musha H, Yamamoto T, et al. Congenital giant aneurysm of the left atrial appendage mimicking pericardial absence. Jpn Circ J 2001; 65: 56-59.

8. Park JS, Lee DH, Han SS, et al. Incidentally found, growing congenital aneurysm of the left atrium. J Korean Med Sci 2003; 18: 262-266.

9. Gupta S, Agarwal S, Pratap H, Datt V, Banerjee A. Congenital aneurysm of left atrial appendage: A case report. J Card Surg 2010: 25: 37-40.

10. Cho MJ, Park JA, Lee HD, Choo KS, Sung SC. Congenital left atrial appendage aneurysm diagnosed by fetal echocardiography. J Clin Ultrasound 2010; 38: 94-96.

11. Plonska-Gosciniak E, Larysz B, Jurczyk K, Kasprzak JD. Five-chambered heart: A 20-year story of left atrial appendage aneurysm. Eur Heart J 2009; 30: 1014.

12. Smeglin A, Merchan J, Maysky M, Johnstone M, Pastore JO. Images in cardiovascular medicine: Giant left atrial appendage aneurysm. Circulation 2008; 118: 2393-2394.
Turkish Journal of Pediatrics-Cover
  • ISSN: 0041-4301
  • Yayın Aralığı: Yılda 6 Sayı
  • Başlangıç: 1958
  • Yayıncı: Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü Müdürlüğü
Sayıdaki Diğer Makaleler

Pulmonary complications following hematopoietic stem cell transplantation in children

Kısmet ÇIKI, Deniz DOĞRU, Barış KUŞKONMAZ, Nagehan EMİRALİOĞLU, Ebru YALÇIN, Uğur ÖZÇELİK, Duygu Uçkan ÇETİNKAYA, Nural KİPER

BK virus associated nephropathy and severe pneumonia in a kidney transplanted adolescent with Schimke immuneosseous-dysplasia

Ali DÜZOVA, Bora GÜLHAN, Rezan TOPALOĞLU, Fatih ÖZALTIN, Ali Bülent CENGİZ, Ayşe Filiz YETİMAKMAN, Deniz DOĞRU, Şafak GÜÇER, Nesrin BEŞBAŞ

A novel mutation in two cousins with guanidinoacetate methyltransferase (GAMT) deficiency presented with autism

Halil İbrahim AYDIN, Fatma Müjgan SÖNMEZ

Effects of the storage of breast milk at different temperatures on total antioxidant capacity, total oxidant status, and paraoxonase-1 level

Murat KONAK, Murat MİNİCİ, Nuriye TARAKÇI, Hüseyin ALTUNHAN, Aysun TOKER, Rahmi ÖRS

A rare clinical association: Barth syndrome and cystic fibrosis

Elif SAĞ, Tülay KAMAŞAK, Gülay KAYA, Murat ÇAKIR

Severe iron deficiency anemia and anasarca edema due to excessive cow’s milk intake

Elpis MANTADAKİS, Panagiota ZİKİDOU, Emmanouela TSOUVALA, Stavros THOMAİDİS, Athanassios CHATZİMİCHAEL

Clearance of jaundice after the modified Kasai’s operation predicts survival outcomes in patients with biliary atresia

Jinchanya TAMGAL, Alisara DAMRONGMANEE, Jiraporn KHORANA, Kanokkan TEPMALAI, Nuthapong UKARAPOL

The effectiveness of serum amyloid A for prediction of neonatal cholestasis associated with parenteral nutrition in premature infants

Hilal ÖZKAN, Nilgün KÖKSAL, Pelin DOĞAN, İpek Güney VARAL, Onur BAĞCI, Taner ÖZGÜR

Is there any relation between connective tissue growth factor and scar tissue in vesicoureteral reflux?

Nazlı Dilay GÜLTEKİN, Meryem BENZER, Şebnem Tekin NEİJMANN

Does stable sitting influence upper limb function in children with cerebral palsy?

Kübra SEYHAN, Mintaze Kerem GÜNEL