PMID- 28302138 OWN - NLM STAT- MEDLINE DCOM- 20170411 LR - 20181202 IS - 1749-8090 (Electronic) IS - 1749-8090 (Linking) VI - 12 IP - 1 DP - 2017 Mar 16 TI - Congenital giant left atrial appendage aneurysm: a case report. PG - 15 LID - 10.1186/s13019-017-0576-6 [doi] LID - 15 AB - BACKGROUND: Congenital left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially serious complications, including life-threatening systemic thromboembolism, atrial tachyarrhythmia, and cardiac dysfunction. Currently, early surgical intervention is generally recommended to prevent these complications. CASE PRESENTATION: We present a case of congenital giant LAAA in a female patient who successfully completed pregnancy and underwent caesarean section with no obvious complications. Surgical resection of the LAAA was performed 3 years later, at the onset of chest pain resulting from compression of adjacent cardiac structures by the LAAA. CONCLUSION: Surgical resection is recommended for the majority of patients with LAAA because of potential LAAA-related severe outcomes. However, clinical monitoring may be an optional strategy for asymptomatic patients without intra-atrial thrombus or other complications. Precise evaluation with echocardiography and brain magnetic resonance imaging is valuable for the subsequent management of LAAA. FAU - Chen, Yan AU - Chen Y AD - Echocardiography and Vascular Ultrasound Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China. FAU - Mou, Yun AU - Mou Y AD - Echocardiography and Vascular Ultrasound Center, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China. FAU - Jiang, Li-Jun AU - Jiang LJ AD - Department of Thoracic Cardiovascular Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China. FAU - Hu, Shen-Jiang AU - Hu SJ AD - Institute of Cardiology, The First Affiliated Hospital, College of Medicine, Zhejiang University, No.79, Qing-Chun Road, Hangzhou, China. s0hu0001@hotmail.com. LA - eng PT - Case Reports PT - Journal Article DEP - 20170316 PL - England TA - J Cardiothorac Surg JT - Journal of cardiothoracic surgery JID - 101265113 SB - IM MH - Adult MH - *Atrial Appendage MH - Cardiac Surgical Procedures/*methods MH - Echocardiography, Doppler MH - Female MH - Heart Aneurysm/*congenital/diagnosis/surgery MH - Humans MH - Magnetic Resonance Imaging, Cine MH - Tomography, X-Ray Computed PMC - PMC5356375 OTO - NOTNLM OT - Case report OT - Echocardiography OT - Left atrial appendage aneurysm OT - Pregnancy EDAT- 2017/03/18 06:00 MHDA- 2017/04/12 06:00 PMCR- 2017/03/16 CRDT- 2017/03/18 06:00 PHST- 2016/10/13 00:00 [received] PHST- 2017/02/21 00:00 [accepted] PHST- 2017/03/18 06:00 [entrez] PHST- 2017/03/18 06:00 [pubmed] PHST- 2017/04/12 06:00 [medline] PHST- 2017/03/16 00:00 [pmc-release] AID - 10.1186/s13019-017-0576-6 [pii] AID - 576 [pii] AID - 10.1186/s13019-017-0576-6 [doi] PST - epublish SO - J Cardiothorac Surg. 2017 Mar 16;12(1):15. doi: 10.1186/s13019-017-0576-6.