Key result
Anticoagulation resolves intraaneurysmal thrombi in a congenital LAA aneurysm case, enabling surgical removal.
Why the study?
Atrial appendage aneurysm is a rare cardiac disease that may be complicated by embolic events and rhythm disturbances, with limited data on thrombi resolution.
Case Report (n=1)
This case report provides the first evidence of successful thrombus resolution in a left atrial appendage aneurysm using anticoagulant therapy prior to surgical resection.
May support anticoagulation then resection in left atrial aneurysm with thrombi; leaves open standardized management for this rare entity.
Atrial appendage aneurysm is a rare cardiac disease and may be complicated by embolic events and rhythm disturbances. We describe a case of a congenital left atrial aneurysm presenting with a cerebrovascular accident in a 57-year-old female. The diagnosis was made by transesophageal echocardiography, which revealed the presence of intraaneurysmal thrombi. The patient initially received anticoagulant therapy and the thrombi were resolved. Subsequently, she was successfully operated on and the aneurysm was removed. This is the first report of thrombi resolution in a left atrial appendage aneurysm.
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Karatasakis et al. (1997) conducted a case report in Congenital left atrial appendage aneurysm with intraaneurysmal thrombi (n=1). Anticoagulant therapy followed by surgical removal was evaluated on Resolution of thrombi and surgical removal of aneurysm. Anticoagulant therapy successfully resolved intraaneurysmal thrombi in a 57-year-old female with a congenital left atrial appendage aneurysm, allowing for subsequent surgical removal.
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