PMID- 36589491 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230103 IS - 1930-0433 (Print) IS - 1930-0433 (Electronic) IS - 1930-0433 (Linking) VI - 18 IP - 3 DP - 2023 Mar TI - A giant left atrial appendage aneurysm with recurrent chest tightness and atrial tachycardia: Multimodal imaging findings. PG - 805-808 LID - 10.1016/j.radcr.2022.11.062 [doi] AB - Left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly that is usually incidentally found in middle-aged patients. Though initially asymptomatic, LAAA can cause some serious complications: atrial tachyarrhythmia, thromboembolism, peripheral compression, and cardiac dysfunction. Multimodal imaging technologies, especially echocardiography and computed tomography (CT) scanning play an important role in the diagnosis of LAAA. Transthoracic echocardiography (TTE) is generally used for preliminary evaluation and diagnosis of the aneurysm. CT scanning can further confirm the diagnosis by demonstrating the spatial structure relationships and eliminating the possibility of other cardiac tumors. The following case study pertains to a 54-year-old patient with recurrent chest tightness and atrial tachycardia. The patient was diagnosed with a giant LAAA by multimodal imaging technology, and the aneurysm was surgically removed under cardiopulmonary bypass. After 4 years of follow-up, the patient reported living a healthy life without chest discomfort, complications, or medication. Multimodal imaging can provide important information for the diagnosis and treatment of left atrial appendage aneurysms, and aneurysm resection can be an effective therapeutic approach with a good long-term prognosis. CI - (c) 2022 The Authors. Published by Elsevier Inc. on behalf of University of Washington. FAU - Yan, Wei AU - Yan W AD - Department of Ultrasound, Wuhan Asia General Hospital, 300 Jiangcheng Ave, Wuhan 430056, China. FAU - Xie, Yu AU - Xie Y AD - Department of Cardiac Surgery, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, China. FAU - Cai, Peiwei AU - Cai P AD - Department of Ultrasound, The First Affiliated Hospital of Shantou University Medical College, Shantou 515041, China. FAU - Ma, Xiaojing AU - Ma X AD - Department of Ultrasound, Wuhan Asia General Hospital, 300 Jiangcheng Ave, Wuhan 430056, China. LA - eng PT - Case Reports DEP - 20221219 PL - Netherlands TA - Radiol Case Rep JT - Radiology case reports JID - 101467888 PMC - PMC9794895 OTO - NOTNLM OT - Computed tomography OT - Echocardiography OT - Left atrial appendage aneurysm OT - Resection EDAT- 2023/01/03 06:00 MHDA- 2023/01/03 06:01 PMCR- 2022/12/19 CRDT- 2023/01/02 03:59 PHST- 2022/10/27 00:00 [received] PHST- 2022/11/22 00:00 [revised] PHST- 2022/11/23 00:00 [accepted] PHST- 2023/01/02 03:59 [entrez] PHST- 2023/01/03 06:00 [pubmed] PHST- 2023/01/03 06:01 [medline] PHST- 2022/12/19 00:00 [pmc-release] AID - S1930-0433(22)01046-9 [pii] AID - 10.1016/j.radcr.2022.11.062 [doi] PST - epublish SO - Radiol Case Rep. 2022 Dec 19;18(3):805-808. doi: 10.1016/j.radcr.2022.11.062. eCollection 2023 Mar.