Key result
Aneurysmectomy through lateral thoracotomy under transoesophageal echocardiography guidance was successfully performed in a 3-year-old patient with a congenital left atrial appendage aneurysm.
Why the study?
Congenital left atrial appendage aneurysm is extremely rare, with limited literature reporting its management.
Case Report (n=1)
Aneurysmectomy via lateral thoracotomy under TEE guidance is a safe and effective approach for treating rare congenital left atrial appendage aneurysms in pediatric patients.
Feasible in one pediatric case; leaves open optimal surgical approach for congenital LAA aneurysm pending larger series.
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.
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Fan et al. (2020) conducted a case report in Congenital left atrial appendage aneurysm (n=1). Aneurysmectomy through lateral thoracotomy was evaluated. Aneurysmectomy through lateral thoracotomy under transoesophageal echocardiography guidance was successfully performed in a 3-year-old patient with a congenital left atrial appendage aneurysm.
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