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Successful resection of giant right atrial appendage aneurysm to cure chaotic atrial tachycardia in a child: case report

Published online by Cambridge University Press:  13 February 2018

Yi Zhang
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
Xiaomei Li*
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
Yongqiang Jin
Affiliation:
School of Clinical Medicine Tsinghua University, Heart Center, Division of Pediatric Cardiology, The First Hospital of Tsinghua University, Beijing, China
*
Author for correspondence: X. Li, Tel: 86 10 13910847672; Fax: 86 10 64308261; E-mail: li-xiaomei@mail.tsinghua.edu.cn

Abstract

Right atrial appendage aneurysm is an extremely rare congenital malformation with unknown aetiology. The most common potential complication is atrial arrhythmias including atrial flutter, atrial fibrillation, and atrial tachycardia. These arrhythmias are usually refractory to medication therapy. Radiofrequency catheter ablation has poor efficacy with low success rate and high recurrence rate. Aneurysm resection is the recommended treatment with satisfactory efficacy. We report a child with chaotic atrial tachycardia due to giant right atrial appendage aneurysm who was successfully treated by aneurysm resection.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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