PMID- 36452289 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221202 IS - 2042-8812 (Print) IS - 2042-8812 (Electronic) IS - 2042-8812 (Linking) VI - 2022 IP - 11 DP - 2022 Nov TI - Left atrial appendage aneurysm resection following the onset of a cardiogenic stroke: a case report. PG - rjac549 LID - 10.1093/jscr/rjac549 [doi] LID - rjac549 AB - A left atrial appendage aneurysm (LAAA) is a rare congenital or acquired anomaly that often causes fatal complications. Although many reports recommend surgical resection for treatment, there is no clear definition of LAAA. Therefore, the diagnosis and treatment are ambiguous. A 73-year-old woman with cardiogenic stroke was admitted to our hospital because of a suspected LAAA as the source of the embolus. She was incidentally diagnosed with LAAA seven years ago, which was managed with continuous anticoagulation therapy, although atrial fibrillation was not observed. The patient underwent aneurysm resection, and the postoperative course was uneventful.As LAAA symptoms are nonspecific, careful observation is required when LAAA is suspected. The risks associated with surgery are generally low and the surgical outcome is good; however, even with appropriate medical therapy, fatal complications can occur. Therefore, surgical resection of the LAAA should be considered even in asymptomatic patients, considering the low surgical risk. CI - Published by Oxford University Press and JSCR Publishing Ltd. (c) The Author(s) 2022. FAU - Isa, Hideki AU - Isa H AUID- ORCID: 0000-0002-2953-3658 AD - Department of Cardiovascular Surgery, Kushiro Kojinkai Memorial Hospital, Aikoku 191-212, Kushiro 085-0062, Hokkaido, Japan. FAU - Nakatsu, Tomoki AU - Nakatsu T AD - Department of Cardiovascular Surgery, Kushiro Kojinkai Memorial Hospital, Aikoku 191-212, Kushiro 085-0062, Hokkaido, Japan. FAU - Kimura, Fumiaki AU - Kimura F AD - Department of Cardiovascular Surgery, Kushiro Kojinkai Memorial Hospital, Aikoku 191-212, Kushiro 085-0062, Hokkaido, Japan. LA - eng PT - Case Reports DEP - 20221128 PL - England TA - J Surg Case Rep JT - Journal of surgical case reports JID - 101560169 PMC - PMC9704779 EDAT- 2022/12/02 06:00 MHDA- 2022/12/02 06:01 PMCR- 2022/11/28 CRDT- 2022/12/01 02:42 PHST- 2022/10/14 00:00 [received] PHST- 2022/11/08 00:00 [accepted] PHST- 2022/12/01 02:42 [entrez] PHST- 2022/12/02 06:00 [pubmed] PHST- 2022/12/02 06:01 [medline] PHST- 2022/11/28 00:00 [pmc-release] AID - rjac549 [pii] AID - 10.1093/jscr/rjac549 [doi] PST - epublish SO - J Surg Case Rep. 2022 Nov 28;2022(11):rjac549. doi: 10.1093/jscr/rjac549. eCollection 2022 Nov.