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Safe treatment of congenital left atrial appendage aneurysm using lateral thoracotomy on a 3-year-old patient

Published online by Cambridge University Press:  29 October 2020

Fan Fan
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Song Bai*
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Feng Tong
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Jia Zheng
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Qilin Li
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Zhangke Guo
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
Xiaofeng Li
Affiliation:
Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China
*
Author for correspondence: Dr Song Bai, Pediatric Cardiac Center, Beijing Children’s Hospital & Capital Medical University, National Center for Children’s Health, Beijing, China. Tel: +86-18910550899; Fax: +86-010-59718650. E-mail: xzwkbs@126.com

Abstract

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.

Type
Brief Report
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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