Left atrial appendage aneurysm in pediatrics: Case study and literature review.

case report left atrial appendage aneurysm literature review pediatric cardiac surgery pediatric cardiology

Journal

Frontiers in cardiovascular medicine
ISSN: 2297-055X
Titre abrégé: Front Cardiovasc Med
Pays: Switzerland
ID NLM: 101653388

Informations de publication

Date de publication:
2023
Historique:
received: 25 04 2023
accepted: 28 07 2023
medline: 28 8 2023
pubmed: 28 8 2023
entrez: 28 8 2023
Statut: epublish

Résumé

Left atrial appendage aneurysm (LAAA) is a rare cardiac pathology that is often identified in adulthood. There are a myriad of presentations related to atrial appendage enlargement, but most are asymptomatic. Pediatric cases of LAAA are extremely rare. We report a case of an incidental giant LAAA found in a healthy 6-year-old boy. He was successfully treated with surgical resection. A review of the literature shows that the presentation of LAAA in pediatrics likely involves cardiac or respiratory symptoms but can also be incidental findings. Similar to adults, diagnosis requires cardiac imaging, with echocardiography being the mainstay. Surgical intervention is indicated in symptomatic and most asymptomatic patients to prevent complications. More research is warranted into the optimal timing of surgery and alternative surgical approaches for complex cases.

Identifiants

pubmed: 37636313
doi: 10.3389/fcvm.2023.1211619
pmc: PMC10449248
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1211619

Informations de copyright

© 2023 Norozi, Subasri, Diaz and Honjo.

Déclaration de conflit d'intérêts

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.

Références

Pediatr Cardiol. 2008 Mar;29(2):431-3
pubmed: 17896126
Interact Cardiovasc Thorac Surg. 2013 Sep;17(3):586-7
pubmed: 23739322
Cardiovasc Dis. 1980 Dec;7(4):405-410
pubmed: 15216244
Am J Cardiol. 1960 Jan;5:122-5
pubmed: 13816819
Ann Thorac Surg. 2021 Dec;112(6):e451-e453
pubmed: 33676908
Ann Thorac Surg. 2020 Dec;110(6):e521-e523
pubmed: 32511992
Br Heart J. 1981 Jan;45(1):97-100
pubmed: 7459169
World J Pediatr Congenit Heart Surg. 2012 Jul 1;3(3):392-5
pubmed: 23804878
Ann Pediatr Cardiol. 2020 Oct-Dec;13(4):353-356
pubmed: 33311928
Ann Thorac Surg. 2004 Feb;77(2):721-3
pubmed: 14759476
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP161-NP163
pubmed: 29888627
Circulation. 2006 Sep 26;114(13):e511-2
pubmed: 17000913
Circulation. 1962 Mar;25:553-8
pubmed: 14483987
JTCVS Tech. 2022 Oct 13;16:219-222
pubmed: 36510538
Echocardiography. 2021 Mar;38(3):480-483
pubmed: 33634519
BJR Case Rep. 2016 Oct 22;2(1):20150292
pubmed: 30364422
BMJ Case Rep. 2018 Jun 4;2018:
pubmed: 29866684
World J Pediatr Congenit Heart Surg. 2021 Jan;12(1):131-132
pubmed: 33407034
Medicine (Baltimore). 2018 Jan;97(2):e9344
pubmed: 29480827
Echocardiography. 2020 Jun;37(6):917-921
pubmed: 32506660
J Clin Ultrasound. 2010 Feb;38(2):94-6
pubmed: 19827128
J Cardiovasc Med (Hagerstown). 2017 Sep;18(9):723-724
pubmed: 23751599
Echocardiography. 2014 Nov;31(10):1312-8
pubmed: 24976376
Cardiol Young. 2011 Dec;21(6):697-9
pubmed: 21729511
Echocardiography. 2021 Oct;38(10):1809-1812
pubmed: 34510535
Heart Surg Forum. 2006;9(1):E478-9
pubmed: 16318930
J Saudi Heart Assoc. 2017 Oct;29(4):293-296
pubmed: 28983173
Front Cardiovasc Med. 2022 May 10;9:888825
pubmed: 35620516
Ann Thorac Surg. 2004 Apr;77(4):1437-8
pubmed: 15063286
Cardiol Young. 2021 Jan;31(1):144-147
pubmed: 33526162
JACC Cardiovasc Imaging. 2014 Dec;7(12):1251-65
pubmed: 25496544
Cardiol Young. 2014 Jun;24(3):555-8
pubmed: 23947954
Interact Cardiovasc Thorac Surg. 2021 Apr 8;32(3):495-496
pubmed: 33221886
Heart Lung Circ. 2009 Dec;18(6):412-6
pubmed: 19119072
Ann Pediatr Cardiol. 2017 Sep-Dec;10(3):293-294
pubmed: 28928618

Auteurs

Kambiz Norozi (K)

Department of Paediatrics, University of Western Ontario, London, ON, Canada.
Division of Pediatric Cardiology, Department of Paediatrics, London Health Sciences Centre, London, ON, Canada.
Pediatric Cardiopulmonary Research Laboratory, London Health Sciences Centre, London, ON, Canada.
Children Health Research Institute, London, ON, Canada.
Department of Paediatric Cardiology, Medical School Hannover, Hannover, Germany.

Mathushan Subasri (M)

Division of Pediatric Cardiology, Department of Paediatrics, London Health Sciences Centre, London, ON, Canada.
Pediatric Cardiopulmonary Research Laboratory, London Health Sciences Centre, London, ON, Canada.
Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada.

Luis Altamirano Diaz (LA)

Department of Paediatrics, University of Western Ontario, London, ON, Canada.
Division of Pediatric Cardiology, Department of Paediatrics, London Health Sciences Centre, London, ON, Canada.
Pediatric Cardiopulmonary Research Laboratory, London Health Sciences Centre, London, ON, Canada.
Children Health Research Institute, London, ON, Canada.

Osami Honjo (O)

Department of Surgery, The Hospital for Sick Children, Toronto, ON, Canada.

Classifications MeSH