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Ann Thorac Surg 2000;69:1569-1571
© 2000 The Society of Thoracic Surgeons

Case reports

Congenital intrapericardial aneurysm of the left atrial appendage

Giuseppe Pome’, MDa, Stefano Pelenghi, MDa, Modestina Grassi, MDa, Gabriele Vignati, MDa, Alessandro Pellegrini, MD, PhDa

a "A. De Gasperis" Cardio-Thoracic Department, Cá Granda-Niguarda Hospital, Milan, Italy

Address reprint requests to Dr Pome’, Divisione Cardio-Toracica "A. De Gasperis", Ospedale Niguarda Cà Granda, Unità di Cardiochirurgia, Piazza Ospedale Maggiore 3, 20162 Milan, Italy;
e-mail: speleng{at}tin.it

Congenital aneurysmal dilatation of the left atrial appendage is a rare but correctable lesion. It represents a diagnostic dilemma in patients with cardiomegaly and is commonly associated with supraventricular arrhythmias and life-threatening systemic embolization. We describe the diagnostic evaluation and surgical treatment during 1997 of a patient with congenital aneurysmal dilatation of the left atrial appendage. The patient was discharged previously from our hospital in 1967 with the diagnosis of congenital dilatation of the pulmonary artery.




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