Abstract
A description of the surgical treatment of an extremely rare form of congenital heart disease – left atrial aneurysm in an infant is presented. Pathology manifests itself in the third and fourth decade of life; in children, it is usually an accidental finding during routine examinations. The clinical course of this nosology requires close dynamic monitoring, since it can be asymptomatic and fraught with life-threatening situations (respiratory distress syndrome, systemic thromboembolism, arrhythmias, aneurysm ruptures).
Timely diagnosis and surgical correction of pathology help to avoid such complications.
References
- Belov D.V., Moskalev V.I., Garbuzenko D.V., Aref’yev N.O. Left atrial appendage aneurysm: a case report. World J. Clin. Cases. 2020; 8 (19): 4443–9. DOI: 10.12998/wjcc.v8. i19.4443
- Madan Raj Aryal, Fayaz A. Hakim, Sailu Ghimire, Sushil Ghimire, Smith Giri, Anil Pandit et al. Left atrial appendage aneurysm: a systematic review of 82 cases. Echocardiography. 2014; 31 (10): 1312–8. DOI: 10.1111/echo.12667
- Jeffrey P. Gold, Hazem Y. Afifi, Wilson Ko, Neal Horner, Rebecca Hahn. Congential giant aneurysms of the left atrial appendage: diagnosis and management. J. Card. Surg. 1996; 11 (12): 147–50. DOI: 10.1111/j.1540-8191.1996.tb00030.x.
- Oz A., Oguz B., Karcaaltincaba M., Yilmaz M., Haliloglu M. Incidentally detected congenital giant left atrial appendage aneurysm in a child: MRI findings. JBR–BTR. 2014; 97 (1): 30–32. DOI: 10.5334/jbr-btr.5
- Jong Seon Park, Dong Hyup Lee, Seung Se Han, Mi Jin Kim, Dong Gu Shin, Young Jo Kim et al. Incidentally found, growing congenital aneurysm of the left atrium. J. Korean Med. Sci. 2003; 18 (2): 262–6. DOI: 10.3346/jkms.2003.18.2.262
- Min Jung Cho, Ji Ae Park, Hyoung Doo Lee, Ki Seok Choo, Si Chan Sung. Congenital left atrial appendage aneurysm diagnosed by fetal echocardiography. J. Clin. Ultrasound. 2010; 38 (2): 94–6. DOI: 10.1002/jcu.20630
- Sanjeev Gupta, Saket Agarwal, Himanshu Pratap, Vishnu Datt, Amit Banerjee. Congenital aneurysm of left atrial appendage: a case report. J. Card. Surg. 2010: 25 (1): 37–40. DOI: 10.1111/j.1540-8191.2009.00889.x.
- Zimmerman S.L. Left atrial diverticula. In pearls and pitfalls in cardiovascular imaging: pseudolesions, artifacts and other difficult diagnoses. Cambridge University; 2015: 54–6. DOI: 10.1017/cbo9781139152228.017
- Lazoura O., Reddy T., Shriharan M., Lindsay A., Nicol E., Rubens M. et al. Prevalence of left atrial anatomical abnormalities in patients with recurrent atrial fibrillation compared with patients in sinus rhythm using multi-slice CT. J. Cardiovasc. Comput. Tomogr. 2012; 6 (4): 268–73. DOI: 10.1016/j.jcct. 2012.02.004
- Li-Qing Peng, Jian-Qun Yu, Zhi-Gang Yang, Dan Wu, Jian-Jun Xu, Zhi-Gang Chu et al. Left atrial diverticula in patients referred for radiofrequency ablation of atrial fibrillation: assessment of prevalence and morphologic characteristics by dual-source computed tomography. Circ. Arrhythm. Electrophysiol. 2012; 5 (2): 345–50. DOI: 10.1161/circep.111.965665
- Suhny Abbara, Jorge A. Mundo-Sagardia, Udo Hoffmann, Ricardo C. Cury. Cardiac CT assessment of left atrial accessory appendages and diverticula. AJR Am. J. Roentgenol. 2009; 193 (3): 807–12. DOI: 10.2214/ajr.08.2229
- 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: 136–9. PMID: 10397438. PMCID: PMC325619.
- Schneider B., Stöllberger C., Sievers H.H. Surgical closure of the left atrial appendage: a beneficial procedure? Cardiology. 2005; 104 (3): 127–32. DOI: 10.1159/000087632 14. Kiaii B., Doll N., Kuehl M., Mohr F.W. Minimal invasive endoscopic resection of a giant left atrial appendage aneurysm. Ann. Thorac. Surg. 2004; 77: 1437–8. DOI: 10.1016/s0003- 4975(03)01303-1
- Ad N., Massimiano P.S., Shuman D.J., Pritchard G., Holmes S.D. New approach to exclude the left atrial appendage during minimally invasive cryothermic surgical ablation. Innovations (Phila). 2015; 10 (5): 323–7. DOI: 10.1177/ 155698451501000506
- Aryana A., d’Avila A. Incomplete closure of the left atrial appendage: implication and management. Curr. Cardiol. Rep. 2016; 18 (9): 82. DOI: 10.1007/s11886-016-0765-2
About the authors
- Aleksey I. Kim, Dr. Med. Sci., Professor, Chief of Department of Cardiac Surgery of Newborns and Infants; ORCID
- Tat’yana V. Rogova, Dr. Med. Sci., Leading Researcher, Head of Department of Reconstructive Surgery of Newborns and Children of the First Year of the Life with Congenital Heart Defects, Cardiologist; ORCID
- Rasul M. Кurganov, Junior Research Associate, Cardiovascular Surgeon; ORCID
- Tigran R. Grigoryants, Senior Research Associate, Cardiovascular Surgeon; ORCID
