PMID- 35620516 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2297-055X (Print) IS - 2297-055X (Electronic) IS - 2297-055X (Linking) VI - 9 DP - 2022 TI - Case Report: Giant Congenital Left Atrial Appendage Aneurysm Presenting With Acute Massive Cerebral Infarction and Refractory Atrial Fibrillation: A Case Report and Literature Review. PG - 888825 LID - 10.3389/fcvm.2022.888825 [doi] LID - 888825 AB - BACKGROUND: Congenital left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with a variety of presentations, from being asymptomatic to potentially serious complications such as systemic thromboembolism and atrial tachyarrhythmia. CASE PRESENTATION: We report a case of congenital giant LAAA in a 35-year-old man presenting with acute massive cerebral infarction and atrial fibrillation (AF) with rapid ventricular rate. The AF was refractory to conventional antiarrhythmic agents, such as amiodarone and electrical cardioversion, but restored and maintained sinus rhythm after surgical resection of LAAA. The patient remained free of events and was in sinus rhythm during half-year follow-up. CONCLUSION: Giant LAAA has the potential causing serious complications and should be managed surgically in most cases. CI - Copyright (c) 2022 Li, Ma, Guan, Pan, Liu, Wang and Wang. FAU - Li, Rui AU - Li R AD - Division of Cardiology, Department of Internal Medicine, Hubei Key Laboratory of Genetics and Molecular Mechanism of Cardiologic Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Ma, Fei AU - Ma F AD - Division of Cardiology, Department of Internal Medicine, Hubei Key Laboratory of Genetics and Molecular Mechanism of Cardiologic Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Guan, Han Xiong AU - Guan HX AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Pan, Yue Ying AU - Pan YY AD - Department of Radiology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Liu, Li Gang AU - Liu LG AD - Division of Cardiothoracic and Vascular Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Wang, Dao Wen AU - Wang DW AD - Division of Cardiology, Department of Internal Medicine, Hubei Key Laboratory of Genetics and Molecular Mechanism of Cardiologic Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Wang, Hong AU - Wang H AD - Division of Cardiology, Department of Internal Medicine, Hubei Key Laboratory of Genetics and Molecular Mechanism of Cardiologic Disorders, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. LA - eng PT - Case Reports DEP - 20220510 PL - Switzerland TA - Front Cardiovasc Med JT - Frontiers in cardiovascular medicine JID - 101653388 PMC - PMC9127081 OTO - NOTNLM OT - acute cerebral infarction OT - atrial fibrillation OT - case report OT - echocardiography OT - left atrial appendage aneurysm COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/05/28 06:00 MHDA- 2022/05/28 06:01 PMCR- 2022/01/01 CRDT- 2022/05/27 02:30 PHST- 2022/03/03 00:00 [received] PHST- 2022/04/11 00:00 [accepted] PHST- 2022/05/27 02:30 [entrez] PHST- 2022/05/28 06:00 [pubmed] PHST- 2022/05/28 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fcvm.2022.888825 [doi] PST - epublish SO - Front Cardiovasc Med. 2022 May 10;9:888825. doi: 10.3389/fcvm.2022.888825. eCollection 2022.