Surgical excision of a congenital left atrial wall aneurysm can successfully resolve associated symptoms such as atrial fibrillation and syncope.
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Supports symptom relief with excision in rare congenital left atrial aneurysm; leaves open generalizability without controlled data.
A congenital intrapericardial aneurysmal dilatation of the left atrial wall was found in a 28 year old man who presented with atrial fibrillation after a syncopal event. The patient had cutaneous manifestations of neurofibromatosis. The diagnosis was made by cross sectional echocardiography and confirmed by angiocardiography. Surgical excision of the aneurysm resolved the symptoms.
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Uren et al. (1988) studied this question.
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