Abstract
The present clinical case and a literature review describing the surgical treatment of a patient with left atrial appendage aneurysm. To search for scientific articles, we used the PubMed database, the Google Scholar search engine, as well as cited references. The corresponding goals of the publication review were selected for the period from 1962 to 2019 according to the terms: “left atrial appendage aneurysm”, “left atrial appendage dilatation”, “pathogenesis”, “diagnosis”, “treatment”. Inclusion criteria were limited mainly to the management of patients with left atrial appendage aneurysm. An analysis of the literature showed that left atrial appendage aneurysm is a rare pathology of the heart with potentially fatal complications. Surgical treatment is indicated for all patients to prevent the development of atrial fibrillation, systemic embolism or myocardial dysfunction.
References
- Chen Y., Mou Y., Jiang L.J., Hu S.J. Congenital giant left atrial appendage aneurysm: a case report. J. Cardiothorac. Surg. 2017; 12 (1): 15. DOI: 10.1186/s13019-017-0576-6
- Parmley L.F. Congenital atriomegaly. Circulation. 1962; 25: 553–8.
- Williams W.G. Dilatation of the left atrial appendage. Br. Heart J. 1963; 25: 637–43.
- Aryal M.R., Hakim F.A., Ghimire S., Ghimire S., Giri S., Pandit A. et al. Left atrial appendage aneurysm: a systematic review of 82 cases. Echocardiography. 2014; 31 (10): 1312–8. DOI: 10.1111/echo.12667
- Asfalou I., Boumaaz M., Raissouni M., Sabry M., Benyass A., Zbir E.M. Huge left atrial appendage aneurysm revealed by chronic hiccups. J. Saudi Heart Assoc. 2017; 29 (4): 293–6. DOI: 10.1016/j.jsha. 2017.03.009
- Wang H.Q., Zhang Z., Yang H., Wu S., Fu Y.H., Song Z.M. et al. Congenital left atrial appendage aneurysm. Chin. Med. J. (Engl). 2017; 130 (24): 3011–2. DOI: 10.4103/0366-6999.220301
- Foale R.A., Gibson T.C., Guyer D.E., Gillam L., King M.E., Weyman A.E. Congenital aneurysms of the left atrium: recognition by cross-sectional echocardiography. Circulation. 1982; 66 (5): 1065–9.
- Chowdhury U.K., 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 (6): 412–6. DOI: 10.1016/j.hlc. 2008.10.015
- Wang B., Li H., Zhang L., He L., Zhang J., Liu C. et al. Congenital left atrial appendage aneurysm: A rare case report and literature review. Medicine (Baltimore). 2018; 97 (2): e9344. DOI: 10.1097/MD.0000000000009344
- Valentino M.A., Al Danaf J., Morris R., Tecce M.A. Giant left atrial appendage aneurysm: A case of mistaken identity. J. Cardiol. Cases. 2017; 15 (4): 129–31. DOI: 10.1016/j.jccase.2016.12.010
- Bamous M., Aithoussa M., Abetti A., Boulahya A. Congenital left atrial appendage aneurysm: Atypical presentation. Ann. Pediatr. Cardiol. 2017; 10 (3): 293–4. DOI: 10.4103/apc.APC_4_17 .
- Li M., Wang Y., Liu S., Yang J., Ma C. Giant left atrial appendage aneurysm compressing the left ventricular wall diagnosed by multiple imaging technology. Cardiol. J. 2019; 26 (4): 416–7. DOI: 10.5603/CJ.2019.0079
- Harland D.R., Suma V., Muthukumar L., Port S.C., Werner P.H., Tajik A.J. Giant congenital left atrial appendage aneurysm presenting with recurrent supraventricular tachycardia and chest pain. CASE (Phila). 2019; 3 (3): 129–32. DOI: 10.1016/j.case.2019.01.003
- Wagdy K., Samaan A., Romeih S., Simry W., Afifi A., Hassan M. Giant left atrial appendage aneurysm compressing the left anterior descending coronary artery. Echocardiography. 2016; 33 (11): 1790–2. DOI: 10.1111/ echo.13296
- Toufan M., Pourafkari L., Afrasiabi A., Sohrabi M., Nader N.D. Left atrial appendage aneurysm presenting with chronic cough. Neth. Heart J. 2017; 25 (9): 526–7. DOI: 10.1007/s12471-017-1021-0
- Sanakoev M.K., Bockeria L.A., Bockeria O.L., Fatulaev Z.F., Klimchuk I.Ya., Andreev V.B. Successful case of surgical correction of giant aneurysm of the left atrial appendage and atrial fibrillation. The Bulletin of Bakoulev Center. Cardiovascular Diseases. 2019; 20 (S11, appl.): 75 (in Russ.).
- Lukin O.P., Belov D.V., Milievskaya E.B. Organization of high-tech cardiac surgical medical care in the Ural Federal District. Russian Journal of Thoracic and Cardiovascular Surgery. 2018; 60 (4): 281–6 (in Russ.). DOI: 10.24022/0236-2791-2018-60-4-281-286
- Victor S., Nayak V.M. Aneurysm of the left atrial appendage. Tex. Heart Inst. J. 2001; 28 (2): 111–8.
- Clark J.B., Ting J.G., Polinsky R.J. Jr., Wolfe L.T. Resection of a giant left atrial appendage aneurysm via limited thoracotomy. World J. Pediatr. Congenit. Heart Surg. 2014; 5 (3): 475–7. DOI: 10.1177/2150135114524602
- Ruttkay T., Scheid M., Götte J., Doll N. Endoscopic resection of a giant left atrial appendage. Innovations (Phila). 2015; 10 (4): 282–4. DOI: 10.1097/IMI.0000000000000172
About the authors
- Dmitriy V. Belov, Cand. Med. Sc., Professor Assistent, orcid.org/0000-0003-4985-9716
- Vladimir I. Moskalev, Cardiovascular Surgeon
- Elena B. Milievskaya, Dr. Med. Sc., Deputy Head of Department, orcid.org/0000-0001-9340-4212
- Sergey V. Chernov, Head of Department, Radiologist Natal’ya A.
- Dan’ko, Cand. Med. Sc., Radiologist