Key result
Five cases of pediatric left atrial appendage aneurysm were reported, with one undergoing surgical resection without cardiopulmonary bypass and another receiving drug management.
Why the study?
Left atrial appendage aneurysm is a rare cardiac anomaly with potentially life-threatening complications that is rarely diagnosed during childhood.
Case Report (n=5)
Left atrial appendage aneurysm is a rare cardiac anomaly in pediatrics that can be diagnosed via echocardiography (subxiphoid view) and managed with surgery or drugs to prevent lethal complications.
Answers are grounded in this paper and cite their sources.
Pediatric LAA aneurysm cases may warrant individualized therapy; leaves open need for larger studies to define optimal approaches.
Left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially life-threatening complications of atrial tachyarrhythmias and systemic thromboembolism. It is often diagnosed incidentally and rarely during childhood. Echocardiography is considered the primary method of LAAA diagnosis; in particular, the subxiphoid view is more useful in pediatrics. Surgical intervention and drug management are recommended to prevent potentially lethal complications. Herein, we report five cases of patients with LAAA during infancy and childhood, caused by both congenital and acquired conditions. One patient underwent surgical resection through left lateral thoracotomy without cardiopulmonary bypass and another patient underwent drug management.
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Zhang et al. (2020) conducted a case report in Left atrial appendage aneurysm (n=5). Left atrial appendage aneurysm was evaluated. Five cases of pediatric left atrial appendage aneurysm were reported, with one undergoing surgical resection without cardiopulmonary bypass and another receiving drug management.
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