PMID- 34703581
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220427
IS  - 2049-0801 (Print)
IS  - 2049-0801 (Electronic)
IS  - 2049-0801 (Linking)
VI  - 71
DP  - 2021 Nov
TI  - Giant aneurysm of the left atrial appendage: A case report of a rare cause of 
      dyspnea in a 55-year old woman.
PG  - 102905
LID - 10.1016/j.amsu.2021.102905 [doi]
LID - 102905
AB  - INTRODUCTION: Congenital aneurysm of the left atrial appendage (LAAA) is a very 
      rare heart with potentially serious and life-threatening complications. Diagnosis 
      is difficult because of the asymptomatic forms, until complications arise. Early 
      surgery is the treatment of choice, but the recommendation today remains unclear. 
      CASE REPORT: We present a case of congenital giant left atrial appendage aneurysm 
      (LAAA), in a 55-year-old, woman, without any medical or surgical history, who 
      presented with dyspnea, in whom transthoracic echocardiograhpy demonstrated the 
      presence of a giant left atrial aneurysm with thickening of the small mitral 
      valve, a chest scan confirmed the diagnosis of LAAA and a myocardial magnetic 
      resonance imaging revealed the presence of thickened mitral valve with 
      bi-valvular balloonization and annular disjunction, thickening of the basal 
      segments of the inferior and lateral wall, left atrial aneurysm with a dilated 
      right coronary artery. Coronary angiography showed a tortuous coronary artery 
      with a loop in the second segment without any significant stenosis. The patient 
      is currently awaiting surgery. CONCLUSION: Left atrial appendage aneurysm is a 
      serious illness will likely require years of medical care and follow up in the 
      absence of surgical treatment. The choice and timing of surgical, conservative or 
      catheter treatment always remains a challenge. Our case report shows that medical 
      treatment is a safe approach that will delay or avoid surgery.
CI  - (c) 2021 The Authors.
FAU - Kissami, Ibtissam
AU  - Kissami I
AD  - Department of Cardiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
FAU - El Ouazzani, Ghizlane
AU  - El Ouazzani G
AD  - Department of Cardiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
FAU - El Bekkaoui, Mehdi
AU  - El Bekkaoui M
AD  - Department of Radiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
FAU - Skiker, Imane
AU  - Skiker I
AD  - Department of Radiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
FAU - Elouafi, Nouha
AU  - Elouafi N
AD  - Department of Cardiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
FAU - Bazid, Zakaria
AU  - Bazid Z
AD  - Department of Cardiology, Mohamed First University, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
AD  - Laboratory of Epidemiology and Clinical Research, Faculty of Medicine and 
      Pharmacy, Oujda, Morocco.
LA  - eng
PT  - Case Reports
DEP - 20211002
PL  - England
TA  - Ann Med Surg (Lond)
JT  - Annals of medicine and surgery (2012)
JID - 101616869
PMC - PMC8521123
OTO - NOTNLM
OT  - Basal hypertrophy
OT  - Case report
OT  - Left atrial appendage aneurysm
OT  - Megacoronary arterie
OT  - Thromboembolic risk
COIS- None.
EDAT- 2021/10/28 06:00
MHDA- 2021/10/28 06:01
PMCR- 2021/10/02
CRDT- 2021/10/27 07:07
PHST- 2021/05/30 00:00 [received]
PHST- 2021/09/28 00:00 [revised]
PHST- 2021/09/29 00:00 [accepted]
PHST- 2021/10/27 07:07 [entrez]
PHST- 2021/10/28 06:00 [pubmed]
PHST- 2021/10/28 06:01 [medline]
PHST- 2021/10/02 00:00 [pmc-release]
AID - S2049-0801(21)00855-4 [pii]
AID - 102905 [pii]
AID - 10.1016/j.amsu.2021.102905 [doi]
PST - epublish
SO  - Ann Med Surg (Lond). 2021 Oct 2;71:102905. doi: 10.1016/j.amsu.2021.102905. 
      eCollection 2021 Nov.