This case report describes a rare presentation of a left atrial appendage aneurysm with an intact pericardium, diagnosed via angiography and confirmed at autopsy.
Rare intact-pericardium LAA aneurysm confirmed angiographically; case reports leave management and natural history open.
A case of an aneurysm of the left atrial appendage with an intact pericardium, the 5th case reported in available literature, is described. The patient suffered from attacks of tachyarrhythmias occurring after giving birth to a child. The diagnosis was suggested at routine chest X-ray examination and later confirmed by right heart angiography. Surgical removal of the aneurysm should have cured the lesion, but was declined by the patient, who died of metastasis from a breast carcinoma. The angiographic diagnosis was confirmed at autopsy and the pericardium was intact.
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Eie et al. (1972) studied this question.
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