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Ann Thorac Surg 2005;79:1392-1393
© 2005 The Society of Thoracic Surgeons

Case report

Left Atrial Appendage Aneurysm

Alok Mathur, MCha, Kenton J. Zehr, MD*,a, Lawrence J. Sinak, MDa, Robert F. Rea, MDa

a Division of Cardiovascular Surgery, Mayo Clinic, Rochester, Minnesota, USA

Accepted for publication October 2, 2003.

* Address reprint requests to Dr Zehr, Division of Cardiovascular Surgery, Mayo Clinic, 200 First St, SW, Rochester, MN, USA 55905
zehr.kenton{at}mayo.edu

Aneurysms of the left atrial appendage are exceedingly rare. Patients most commonly present with atrial tachyarrhythmias and thromboembolism. Resection of the aneurysm is usually curative. We present a case report of a 60-year-old female with a long-standing history of atrial arrhythmias found to have a large left atrial appendage aneurysm with additional bi-atrial enlargement and a family history of atrial arrhythmias. The patient was successfully treated with resection of the aneurysm and a Cox-Maze III procedure.




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