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Roberto Grinfeld
Jorge C. Trainini
Armando Roncoroni
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Ann Thorac Surg 1985;39:469-471
© 1985 The Society of Thoracic Surgeons


Articles

Congenital Aneurysm of the Left Atrium

Roberto Grinfeld, M.D., Jorge C. Trainini, M.D.*, Armando Roncoroni, M.D., Félix Fabrykant, M.D., Horacio Cacheda, M.D., Gerlando Tripodi, M.D.

From the Department of Cardiovascular Surgery, Antartida Medical Institute, Buenos Aires, Argentina

Accepted for publication August 29, 1984.

* Address reprint requests to Dr. Trainini, Brandsen 1690 3°A, 1287 Buenos Aires, Argentina

Left atrial aneurysm is a rare condition. Only 29 cases have been reported, to our knowledge. We report 1 such case in a 24-year-old man who complained of dyspnea and arrhythmias. Diagnosis was suspected on review of chest roentgenogram and confirmed by echocardiography and cardiac catheterization. Surgical repair was achieved without complications, and preoperative symptoms disappeared completely. According to the literature, these patients are almost always asymptomatic. When present, the most common symptoms are arrhythmias, heart failure, emboli, and chest pain. This lesion is seen mainly in young adults (mean age, 23.5 years). The diagnosis should be confirmed by echocardiography, nuclear imaging, and cardiac catheterization. A review of the literature indicates that surgical repair can be accomplished with low mortality and that arrhythmias usually disappear postoperatively.




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