Left Atrial Appendage Aneurysm : A Case Report and Literature Review

Copyright © 2024, Ayala Torres et al..

The left atrial appendage aneurysm is an uncommon condition that has garnered attention from the medical community due to its low incidence and varied clinical manifestations. The difficulty in identification is reflected in its incidental detection in imaging studies such as echocardiograms and tomographies, while symptoms range from mild to severe, including heart failure and thromboembolic events. The complex etiology includes congenital and acquired factors, and its management focuses on preventing complications through surgical resection, accompanied by medical strategies such as controlling heart rhythm and anticoagulation. The case of a 67-year-old woman with significant medical history illustrates these challenges. Despite an inconclusive initial diagnosis, a tomography revealed an aneurysm with an intracavitary thrombus, leading to successful surgical resection. However, subsequent infectious complications resulted in her death. The average age of diagnosis is around 30 years, and while it is more common in women, there are no significant gender differences. Surgical management remains the preferred option, especially in severe cases, although in some patients, a watchful waiting approach is chosen. In conclusion, the left atrial appendage aneurysm is a complex entity that requires a multidisciplinary approach to improve clinical outcomes. Early diagnosis and appropriate treatment are crucial to prevent serious complications and improve the quality of life of affected patients.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:16

Enthalten in:

Cureus - 16(2024), 3 vom: 16. März, Seite e56280

Sprache:

Englisch

Beteiligte Personen:

Ayala Torres, Juan D [VerfasserIn]
Sepulveda Gallego, Jorge Alejandro [VerfasserIn]
Gonzalez Gonzalez, Mateo [VerfasserIn]

Links:

Volltext

Themen:

Aneurysectomy
Case Reports
Case report
Diagnostic imaging
Echocardiogram
Left atrial appendage

Anmerkungen:

Date Revised 25.04.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.7759/cureus.56280

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM371122163