Author/Authors :
Mirmohammadsadeghi، Mohsen نويسنده Department of Cardiac Surgery, Isfahan University of Medical Sciences, Isfahan , , Kiani، Yalda نويسنده Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran , , Nasr، Ali نويسنده Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran , , Zavvar، Reihaneh نويسنده Isfahan Cardiovascular Research Center, Isfahan Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran , , Behjati، Mohaddeseh نويسنده , , Rabbani، Majid نويسنده Resident, Hypertension Research Center, Isfahan Cardiovascular Research Institute , Isfahan University of Medical Sciences, Isfahan, Iran , , Majidi، Elham نويسنده Department of Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran , , Mirmohammadsadeghi، Poya نويسنده Isfahan University of Medical Sciences, Isfahan, Iran ,
Abstract :
BACKGROUND: Isolated intrapericardial LAA aneurysm is a rare cardiac anomaly which
manifests with angina, dyspnea on exertion (DOE), systemic embolization, arrhythmia, and
congestive heart failure.
CASE REPORT: A 30-year-old female and a 46-year-old male were referred for evaluation of
abnormal cardiac contour on chest radiograph and echocardiographic findings and non-specific
symptoms. Transesophageal echocardiography suggested left atrial appendage (LAA) mass filled
with clots. The mass had no compression on cardiac chambers and global ejection fraction was
within normal limits. The intraoperative diagnosis was isolated congenital LAA aneurysm. After
confirmation of the diagnosis, it was resected. She was discharged with uneventful postoperative
course. At follow-up she was asymptomatic.
CONCLUSION: These cases demonstrate the role of on-time surgical approaches in the
prevention of fatal complication of this rare cardiac anomaly.
