Surgical management of an aneurysm of the left atrial appendage to prevent potential sequelae
An aneurysm of the left atrial appendage is an extremely rare anomaly that is commonly associated with supraventricular arrhythmia, compression of the coronary arteries, intracardiac thrombus and pulmonary venous stenosis. This condition may be caused by congenital dysplasia of the musculi pectinati...
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| Veröffentlicht in: | Interactive cardiovascular and thoracic surgery 2013-09, Vol.17 (3), p.586-587 |
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| creator | Nakai, Yosuke Asano, Miki Nomura, Norikazu Mishima, Akira |
| description | An aneurysm of the left atrial appendage is an extremely rare anomaly that is commonly associated with supraventricular arrhythmia, compression of the coronary arteries, intracardiac thrombus and pulmonary venous stenosis. This condition may be caused by congenital dysplasia of the musculi pectinati and is usually diagnosed in the second to fourth decades of life. We report the surgical management of an asymptomatic 9-year old girl with this anomaly. She was referred to us because of abnormal chest X-ray findings, and investigation revealed an aneurysm of the left atrial appendage. As this condition may have potentially fatal complications, the aneurysm was completely resected under cardiac arrest with cardiopulmonary bypass to prevent recurrence and thrombus formation. We suggest that resection of an aneurysm of the left atrial appendage under cardiac arrest with cardiopulmonary bypass is a reasonable treatment option to prevent potential complications, particularly in children. |
| doi_str_mv | 10.1093/icvts/ivt252 |
| format | Article |
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This condition may be caused by congenital dysplasia of the musculi pectinati and is usually diagnosed in the second to fourth decades of life. We report the surgical management of an asymptomatic 9-year old girl with this anomaly. She was referred to us because of abnormal chest X-ray findings, and investigation revealed an aneurysm of the left atrial appendage. As this condition may have potentially fatal complications, the aneurysm was completely resected under cardiac arrest with cardiopulmonary bypass to prevent recurrence and thrombus formation. We suggest that resection of an aneurysm of the left atrial appendage under cardiac arrest with cardiopulmonary bypass is a reasonable treatment option to prevent potential complications, particularly in children.</description><identifier>ISSN: 1569-9293</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1093/icvts/ivt252</identifier><identifier>PMID: 23739322</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Asymptomatic Diseases ; Atrial Appendage - diagnostic imaging ; Atrial Appendage - surgery ; Cardiac Surgical Procedures ; Cardiopulmonary Bypass ; Case Reports ; Child ; Female ; Heart Aneurysm - complications ; Heart Aneurysm - diagnosis ; Heart Aneurysm - surgery ; Heart Arrest, Induced ; Humans ; Tomography, X-Ray Computed ; Treatment Outcome</subject><ispartof>Interactive cardiovascular and thoracic surgery, 2013-09, Vol.17 (3), p.586-587</ispartof><rights>The Author 2013. 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We suggest that resection of an aneurysm of the left atrial appendage under cardiac arrest with cardiopulmonary bypass is a reasonable treatment option to prevent potential complications, particularly in children.</description><subject>Asymptomatic Diseases</subject><subject>Atrial Appendage - diagnostic imaging</subject><subject>Atrial Appendage - surgery</subject><subject>Cardiac Surgical Procedures</subject><subject>Cardiopulmonary Bypass</subject><subject>Case Reports</subject><subject>Child</subject><subject>Female</subject><subject>Heart Aneurysm - complications</subject><subject>Heart Aneurysm - diagnosis</subject><subject>Heart Aneurysm - surgery</subject><subject>Heart Arrest, Induced</subject><subject>Humans</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><issn>1569-9293</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtLAzEUhYMotlZ3rmV2urA2j3llI0jxBQUX6lJCJnPTjsxMxiRT6L83fVh0I1y4CffLuYcchM4JviGYs0mllt5NqqWnCT1AQ5KkfMxpnhzuz5wN0IlznxgTjhk-RgPKMsYZpUP08drbeaVkHTWylXNooPWR0ZFsQ0FvV65ZX_0Cohq0j6S3VYBl10FbBj7yJuosLNfPOuNDW48dfPVQSzhFR1rWDs52fYTeH-7fpk_j2cvj8_RuNlZxTv040wUtSJyTtEhpUcaY01Rzogqlcp5DjEvNi1BJzjBNM9CF1hlLs0SWDPIkZSN0u9Xt-qKBUgUbVtais1Uj7UoYWYm_k7ZaiLlZCpbFCdkIXO0ErAnWnRdN5RTUdfgE0ztBYpoGMI55QK-3qLLGOQt6v4ZgsU5EbBIR20QCfvHb2h7-iSAAl1vA9N3_Ut9KxplY</recordid><startdate>20130901</startdate><enddate>20130901</enddate><creator>Nakai, Yosuke</creator><creator>Asano, Miki</creator><creator>Nomura, Norikazu</creator><creator>Mishima, Akira</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130901</creationdate><title>Surgical management of an aneurysm of the left atrial appendage to prevent potential sequelae</title><author>Nakai, Yosuke ; Asano, Miki ; Nomura, Norikazu ; Mishima, Akira</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c482t-7fb2b14816b62bd40926f91cbcc898e40df9bf9b5830267efbff73675ad3e8563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Asymptomatic Diseases</topic><topic>Atrial Appendage - diagnostic imaging</topic><topic>Atrial Appendage - surgery</topic><topic>Cardiac Surgical Procedures</topic><topic>Cardiopulmonary Bypass</topic><topic>Case Reports</topic><topic>Child</topic><topic>Female</topic><topic>Heart Aneurysm - complications</topic><topic>Heart Aneurysm - diagnosis</topic><topic>Heart Aneurysm - surgery</topic><topic>Heart Arrest, Induced</topic><topic>Humans</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nakai, Yosuke</creatorcontrib><creatorcontrib>Asano, Miki</creatorcontrib><creatorcontrib>Nomura, Norikazu</creatorcontrib><creatorcontrib>Mishima, Akira</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Nakai, Yosuke</au><au>Asano, Miki</au><au>Nomura, Norikazu</au><au>Mishima, Akira</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical management of an aneurysm of the left atrial appendage to prevent potential sequelae</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2013-09-01</date><risdate>2013</risdate><volume>17</volume><issue>3</issue><spage>586</spage><epage>587</epage><pages>586-587</pages><issn>1569-9293</issn><eissn>1569-9285</eissn><abstract>An aneurysm of the left atrial appendage is an extremely rare anomaly that is commonly associated with supraventricular arrhythmia, compression of the coronary arteries, intracardiac thrombus and pulmonary venous stenosis. 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| ispartof | Interactive cardiovascular and thoracic surgery, 2013-09, Vol.17 (3), p.586-587 |
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| source | Oxford Journals Open Access Collection |
| subjects | Asymptomatic Diseases Atrial Appendage - diagnostic imaging Atrial Appendage - surgery Cardiac Surgical Procedures Cardiopulmonary Bypass Case Reports Child Female Heart Aneurysm - complications Heart Aneurysm - diagnosis Heart Aneurysm - surgery Heart Arrest, Induced Humans Tomography, X-Ray Computed Treatment Outcome |
| title | Surgical management of an aneurysm of the left atrial appendage to prevent potential sequelae |
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