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Ann Thorac Surg 2001;71:1014-1016
© 2001 The Society of Thoracic Surgeons

Case report

Giant left atrial intrapericardial aneurysm: noninvasive preoperative imaging

Dongfang Wang, MD, PhDa,b, Bridget Holden, MDb, Clare Savage, MDb, Kailun Zhang, MDa, Joseph B. Zwischenberger, MDb

a Department of Cardiovascular Surgery, Institute of Cardiovascular Diseases of Tongji Medical University, Wuhan, China
b Department of Surgery, The University of Texas Medical Branch, Galveston, Texas, USA

Accepted for publication September 7, 2000.

Address reprint requests to Dr Zwischenberger, Division of Cardiothoracic Surgery, The University of Texas Medical Branch, 301 University Blvd, Galveston, TX 77555-0528
e-mail: jzwische{at}utmb.edu

Congenital giant intrapericardial aneurysms of the left atrium are rare. A 17-year-old boy presented with paroxysmal episodes of palpitations, chest pain, and dyspnea. A chest roentgenogram showed an enlarged left cardiac silhouette. Transthoracic echocardiography imaging showed an intrapericardial aneurysm of the left atrium. Cardiac magnetic resonance imaging confirmed the diagnosis and delineated adjacent structures to plan the surgical resection. We have found no previous reports of cases of diagnosis and preoperative assessment based solely on noninvasive imaging.






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Copyright © 2001 by The Society of Thoracic Surgeons.