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European Journal of Echocardiography 2008 9(1):152-154; doi:10.1016/j.euje.2007.05.002
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

Congenital aneurysm of the left atrial appendage

A. Munárriz1,{dagger}, E. Escribano2, A. Urchaga2, F. Olaz2,*, M. Beunza2, A. de La Fuente3, S. Cantabrana2 and T. Sola2

1 Department of Cardiology, Hospital Reina Sofía, Carretera Tarazona sn, Tudela, Navarra, España
2 Department of Cardiology, Hospital de Navarra, C/Irunlarrea 3, 31008 Pamplona, España
3 Department of Cardiac Surgery, Hospital de Navarra, C/Irunlarrea 3, Pamplona, España

Received 20 March 2007; accepted after revision 4 May 2007; online publish-ahead-of-print 16 July 2007.

* Corresponding author. Tel: +34 848 422 148; fax: +34 848 422 303. E-mail addresses: amunarra{at}cfnavarra.es, aitzibermu{at}mixmail.com (A. Munárriz), folazpre{at}cfnavarra.es


  Abstract

Congenital aneurysm of the left atrial appendage is quite infrequent. Most instances are asymptomatic. Patients can report a variety of symptoms, one of the most frequent being onset of auricular tachyarrhythmia. Various imaging techniques are useful in diagnosis and allow the differential diagnosis with other pathologies.

We describe the case of a 24-year-old male with congenital aneurysm of the left atrial appendage. The patient presented with auricular fibrillation. Diagnosis was based on transthoracic and trans-esophageal echocardiography, and the patient was treated by surgical resection of the aneurysm under extracorporeal circulation.

Keywords: Aneurysm; Left atrial appendage; Arrhythmia; Echocardiogram

{dagger} Tel: +34 848 434 000.


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