Premium
Giant left atrial appendage aneurysm compressing the left anterior descending coronary artery
Author(s) -
Wagdy Kerolos,
Samaan Amir,
Romeih Soha,
Simry Walid,
Afifi Ahmed,
Hassan Mohamed
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13296
Subject(s) - medicine , cardiology , appendage , aneurysm , artery , atrial appendage , radiology , anatomy , atrial fibrillation , sinus rhythm
Left atrial appendage aneurysm ( LAAA ) is a rare congenital structural heart disease. It is often diagnosed by echocardiography; however, other imaging modalities can add to its diagnosis and its potential effects on the surrounding structures. A 16‐year‐old boy presented with dyspnea and palpitation. Transthoracic echocardiography showed a large LAAA communicating with the LA through a narrow neck with impaired left ventricular ( LV ) systolic function. Multidetector cardiac tomography showed that the LAAA is compressing the left anterior descending artery. The LAAA was surgically resected followed by improvement of the LV systolic function.