Expansion of a Huge Compressive Left Atrial Appendage Aneurysm in a 29-Day-Old Infant.

Oda, Shinichiro; Nakano, Toshihide; Kado, Hideaki · Ann Thorac Surg · 2020

case_report · Level V

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Abstract

We report a case of symptomatic and progressive enlargement of a huge left atrial appendage aneurysm in a 29-day-old infant. The aneurysm was detected by fetal echocardiography and exertional dyspnea developed during the neonatal period. The aneurysm was successfully resected by decompressing the aneurysm using cardiopulmonary bypass without cardiac arrest. Our findings suggest that fetal echocardiography enables early diagnosis of the rare left atrial appendage aneurysm, and early surgical resection may protect affected patients from life-threatening symptoms.

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