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Intrapericardial giant left atrial appendage

Published online by Cambridge University Press:  21 January 2005

Eapen Thomas
Affiliation:
Department of Paediatric Cardiology, Wessex Cardiothoracic Unit, Southampton University Hospitals NHS Trust, Southampton, UK
Anthony P. Salmon
Affiliation:
Department of Paediatric Cardiology, Wessex Cardiothoracic Unit, Southampton University Hospitals NHS Trust, Southampton, UK
Joseph J. Vettukattil
Affiliation:
Department of Paediatric Cardiology, Wessex Cardiothoracic Unit, Southampton University Hospitals NHS Trust, Southampton, UK

Abstract

Contrary to what the name implies, the left atrial appendage is increasingly becoming an organ of clinical importance. Its role in the pathogenesis of thromboembolism is now well established. Enlargement of the appendage due to haemodynamic disturbances or anatomic weakness increases this risk, along with the potential for arrhythmia. We report a rare case of gross enlargement of the left atrial appendage within the pericardial cavity.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

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References

Kamikubo Y, Murashita T, Yamuchi H, Yasuda K, Matano J, Myojin K. A case of mitral valve replacement and left atrial plication for infantile Marfan syndrome with giant left atrium due to mitral valve regurgitation. Kyobu Geka 1999; 52: 579582.Google Scholar
Williams WG. Dilatation of the left atrial appendage. B Heart J 1963; 25: 637643.Google Scholar
Gold JP, Afifi HY, Ko W, Horner N, Hahn R. Congenital giant aneurysm of the left atrial appendage: diagnosis and management. J Card Surg 1996; 11: 147150.Google Scholar
Reeves WC, Citola T, Babb JD, Buonocore E, Leaman D. Prolapsed left atrium behind the left ventricular posterior wall: two dimensional echocardiographic and angiographic features. Am J Cardiol 1981; 47: 708712.Google Scholar
Comess KA, Labate DP, Winter JA, Hill AC, Miller DC. Congenital left atrial appendage aneurysm with intact pericardium: diagnosis by transoesophageal echocardiography. Am Heart J 1990; 120: 992996.Google Scholar