Safe treatment of congenital left atrial appendage aneurysm using lateral thoracotomy on a 3-year-old patient

2020 ◽  
pp. 1-4
Author(s):  
Fan Fan ◽  
Song Bai ◽  
Feng Tong ◽  
Jia Zheng ◽  
Qilin Li ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Transoesophageal Echocardiography ◽  
Atrial Appendage ◽  
Step Method ◽  
X Ray ◽  
Chest X Ray ◽  
Cardiac Silhouette ◽  
Left Atrial Appendage Aneurysm ◽  
Lateral Thoracotomy

Abstract Limited literatures report the management of congenital left atrial appendage aneurysm (LAAA) which is extremely rare. Chest X-ray firstly showed an enlarged left cardiac silhouette for a 3-year-old patient with pneumonia. Echocardiography and magnetic resonance imaging confirmed a large cyst attached to the left atrium. Aneurysmectomy was performed through lateral thoracotomy using step-by-step method and under the guidance of transoesophageal echocardiography. We aim to show the safety and efficacy of this approach applied to children associated with congenital LAAA.

Off-pump snare technique for congenital left atrial appendage aneurysm

2013 ◽  
Vol 24 (3) ◽  
pp. 555-558 ◽  
Author(s):  
Daniel J. DiBardino ◽  
Avichal Aggarwal ◽  
Jarrod D. Knudson
Keyword(s):  
Cardiopulmonary Bypass ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Transoesophageal Echocardiography ◽  
Atrial Appendage ◽  
Off Pump ◽  
Rare Anomaly ◽  
Management Experience ◽  
Left Atrial Appendage Aneurysm

AbstractLeft atrial appendage aneurysm is an extremely rare anomaly and as such has been rarely imaged or seen intraoperatively with very little accumulated management experience. The available scant published literature stresses resection on cardiopulmonary bypass as the safest and by far the most commonly applied technique. We suggest a novel alternative imaging-guided management utilising an off-pump tourniquet snare technique under live transoesophageal echocardiography.

scholarly journals Prenatally diagnosed left atrial appendage aneurysm with various postnatal imaging investigations: A case report

2021 ◽  
Author(s):  
Takeshi Sasaki ◽  
Yuki Kawasaki ◽  
Yosuke Murakami ◽  
Mitsuhiro Fujino ◽  
Kae Nakamura ◽  
...  
Keyword(s):  
Case Report ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Left Atrial Appendage Aneurysm

scholarly journals A Case of a Left Atrial Appendage Aneurysm in a Senior

2014 ◽  
Vol 75 (9) ◽  
pp. 2429-2432
Author(s):  
Toshihiko SAKAO ◽  
Naoki ISHIDA ◽  
Shimsuke KAJIWARA ◽  
Kenzo OKADA ◽  
Hidenori KIYOCHI ◽  
...  
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Left Atrial Appendage Aneurysm

scholarly journals Incidentally detected congenital left atrial appendage aneurysm

2014 ◽  
Vol 30 (3) ◽  
pp. 249-249
Author(s):  
Senthil Kumar Aiyappan ◽  
Upasana Ranga ◽  
Saveetha Veeraiyan
Keyword(s):  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Left Atrial Appendage Aneurysm

Left Atrial Appendage Aneurysm Characterized by Multimodal Imaging

2018 ◽  
Vol 11 (4) ◽  
pp. NP161-NP163
Author(s):  
David J. Brenneman ◽  
Andrew D. Pitkin ◽  
Dipankar Gupta ◽  
Mark S. Bleiweis ◽  
Karl M. Reyes ◽  
...  
Keyword(s):  
Surgical Resection ◽  
Left Atrial ◽  
Multimodal Imaging ◽  
Left Atrial Appendage ◽  
Incidental Finding ◽  
Rare Condition ◽  
Atrial Appendage ◽  
Left Atrial Appendage Aneurysm

We present a four-year-old female with an incidental finding of a congenital left atrial appendage aneurysm who underwent surgical resection with excellent results. This case highlights the importance of multimodal imaging in the diagnosis and characterization of this rare condition.

scholarly journals Spontaneously occluded left atrial appendage in a patient with atrial fibrillation and stroke: a case report

2020 ◽  
Vol 4 (2) ◽  
pp. 1-4
Author(s):  
Andreas Bugge Tinggaard ◽  
Kasper Korsholm ◽  
Jesper Møller Jensen ◽  
Jens Erik Nielsen-Kudsk
Keyword(s):  
Atrial Fibrillation ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Transoesophageal Echocardiography ◽  
Similar Efficacy ◽  
Cardiovascular Death ◽  
Atrial Appendage ◽  
Left Atrial Appendage Occlusion ◽  
All Cause Mortality

Abstract Background  The left atrial appendage (LAA) is the main source of thromboembolism in atrial fibrillation (AF). Transcatheter closure is non-inferior to warfarin therapy in preventing stroke. Case summary  A patient with two consecutive strokes associated with AF was referred for transcatheter LAA occlusion (LAAO). Preprocedural cardiac CT and transoesophageal echocardiography demonstrated a spontaneously occluded LAA with a smooth left atrial surface, with stationary results at 6- and 12-month imaging follow-up. Warfarin was discontinued, and life-long aspirin instigated. Discussion  Left atrial appendage occlusion has shown non-inferiority to warfarin for prevention of stroke, cardiovascular death, and all-cause mortality. No benefits from anticoagulation have been demonstrated in patients with embolic stroke of undetermined source. In the present case, we observed that the LAA was occluded and, therefore, treated with aspirin monotherapy assuming similar efficacy as transcatheter LAAO.

scholarly journals Fusion Imaging of X-ray and Transesophageal Echocardiography Improves the Procedure of Left Atrial Appendage Closure

2020 ◽  
Vol 34 (6) ◽  
pp. 781-787
Author(s):  
Henning Ebelt ◽  
Thomas Domagala ◽  
Alexandra Offhaus ◽  
Matthias Wiora ◽  
Andreas Schwenzky ◽  
...  
Keyword(s):  
Contrast Medium ◽  
Transesophageal Echocardiography ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Fusion Imaging ◽  
Atrial Appendage ◽  
Final Position ◽  
Procedure Time ◽  
Left Atrial Appendage Closure ◽  
X Ray

Abstract Background Left atrial appendage closure (LAAC) is an alternative treatment strategy for patients with atrial fibrillation who are at risk for thromboembolic events and considered not suitable for oral anticoagulation (OAC). LAAC is mainly performed under the guidance of transesophageal echocardiography (TEE) and fluoroscopy. The study presented here should analyze whether fusion imaging (FI) of transesophageal echocardiography and X-ray performed during LAAC is feasible and can improve the results of the procedure. Methods The data presented here are from a retrospective single center study. Sample size was defined as 50 patients in which LAAC was performed without fusion imaging (control group) and 25 patients were the LAAC procedure was guided by fusion imaging (treatment group). Inclusion criteria were defined as age > 18 years and completion of an LAAC procedure defined as deployment of a WATCHMAN 2.5 LAA occluder. Study endpoints were procedure time, amount of used contrast medium, radiation dose, final position of the WATCHMAN in TEE (deviation from ideal positioning), and clinical endpoints, respectively. Results LAA closure was successfully performed in all patients. No case of device embolism was occurring, and none of the patients experienced a periprocedural stroke/TIA nor a systemic embolism, respectively. Mean procedure time was 15 min shorter in the group of patients where fusion imaging was applied (p < 0.001). Additionally, the use of fusion imaging was associated with a significant reduction of contrast medium (20.6 ml less than in control; p < 0.045). Regarding the final position of the WATCHMAN, no relevant differences were found between the groups. Summary The use of fusion imaging significantly reduced procedure time and the amount of contrast medium in patients undergoing LAAC.

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