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J Thorac Cardiovasc Surg 2007;133:822-823
© 2007 The American Association for Thoracic Surgery

Brief Communication

Excision of an aneurysm of the left atrial appendage

Parsia A. Vagefi, MD*, Modassir Choudhry, MD, Alan D. Hilgenberg, MD

Division of Cardiac Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

Received for publication November 10, 2006; accepted for publication November 16, 2006.

* Address for reprints: Parsia A. Vagefi, MD, Massachusetts General Hospital, 55 Fruit St, GRB-425, Boston, MA 02114-2696 (Email: pvagefi@partners.org).

The first 20% of the full text of this article appears below.


Figure 1
Dr Vagefi and Dr Hilgenberg


Congenital aneurysmal dilatation of the left atrial appendage is a rare lesion that can commonly be associated with supraventricular arrhythmias, life-threatening systemic embolization, and severe congestive heart failure.1Go We report here the case of a 37-year-old man who underwent resection of a giant aneurysm of the left atrial appendage through a limited left thoracotomy without the need for cardiopulmonary bypass (CBP).

Clinical Summary

A 37-year-old man was told as an adolescent that he had an enlarged heart. He recently sought medical evaluation after reading in the popular press about the death of two young athletes. At the time of presentation he was asymptomatic, and results of his physical examination were unremarkable. An electrocardiogram demonstrated sinus rhythm with frequent premature atrial contractions and left atrial enlargement (Figure E1, a). An echocardiogram showed an echo-lucent structure measuring 3.6 x 5.4 cm adjacent to the base of the left ventricle, with mild extrinsic compression of the ventricle. A chest x-ray film demonstrated a convexity to . . . [Full Text of this Article]




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
A. de la Fuente, A. Urchaga, R. Sanchez, J.-L. Fernandez, and I. Moriones
Congenital Aneurysm of the Left Atrial Appendage
Ann. Thorac. Surg., June 1, 2008; 85(6): 2139 - 2140.
[Abstract] [Full Text] [PDF]


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