Left atrial aneurysmectomy under cardiopulmonary bypass was successfully performed in a 14-year-old boy with a congenital intrapericardial left atrial aneurysm, resulting in symptom resolution at 1 year.
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Supports aneurysmectomy for rare congenital left atrial aneurysm; hypothesis-generating and requires larger series before practice change.
A 14-year-old boy with sudden onset of palpitations and dyspnea was found to have an intrapericardial left atrial aneurysm (15 × 12 cm). Left atrial aneurysmectomy was carried out under cardiopulmonary bypass. The patient has been symptom-free during a 1-year follow-up.
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Dhaliwal et al. (2001) studied this question.
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