The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach
Left atrial appendage (LAA) aneurysm is a rare, pathologic condition that may lead to atrial tachyarrhythmia or thromboembolic events. A 49-year-old man presented with aggravated palpitation and dizziness. He suffered from refractory atrial fibrillation despite a previous history of radiofrequency c...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Society for Thoracic and Cardiovascular Surgery
2018-04-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.5090/kjtcs.2018.51.2.146 |
| _version_ | 1817994221166002176 |
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| author | Young Woong Kim Ho Jin Kim Min Ho Ju Jae Won Lee |
| author_facet | Young Woong Kim Ho Jin Kim Min Ho Ju Jae Won Lee |
| author_sort | Young Woong Kim |
| collection | DOAJ |
| description | Left atrial appendage (LAA) aneurysm is a rare, pathologic condition that may lead to atrial tachyarrhythmia or thromboembolic events. A 49-year-old man presented with aggravated palpitation and dizziness. He suffered from refractory atrial fibrillation despite a previous history of radiofrequency catheter ablation. Echocardiography revealed a 57mm LAA aneurysm. Surgical ablation was performed through a right minithoracotomy, and the LAA aneurysm was obliterated with a 50mm AtriClip (Atricure Inc., Westchester, OH, USA). However, follow-up computed tomography showed residual communication, so the patient is still taking warfarin. We report that a minimally invasive strategy for treating LAA aneurysm can be considered, but incomplete closure may occur; thus, caution is needed. |
| first_indexed | 2024-04-14T01:50:15Z |
| format | Article |
| id | doaj.art-e8180de254214b608ea9d1198ae6dff1 |
| institution | Directory Open Access Journal |
| issn | 2233-601X |
| language | English |
| last_indexed | 2024-04-14T01:50:15Z |
| publishDate | 2018-04-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-e8180de254214b608ea9d1198ae6dff12022-12-22T02:19:23ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2018-04-0151214614810.5090/kjtcs.2018.51.2.146kjtcs.2018.51.2.146The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive ApproachYoung Woong Kim0Ho Jin Kim1Min Ho Ju2Jae Won Lee3Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of MedicineDepartment of Thoracic and Cardiovascular Surgery, Asan Medical Center, University of Ulsan College of MedicineLeft atrial appendage (LAA) aneurysm is a rare, pathologic condition that may lead to atrial tachyarrhythmia or thromboembolic events. A 49-year-old man presented with aggravated palpitation and dizziness. He suffered from refractory atrial fibrillation despite a previous history of radiofrequency catheter ablation. Echocardiography revealed a 57mm LAA aneurysm. Surgical ablation was performed through a right minithoracotomy, and the LAA aneurysm was obliterated with a 50mm AtriClip (Atricure Inc., Westchester, OH, USA). However, follow-up computed tomography showed residual communication, so the patient is still taking warfarin. We report that a minimally invasive strategy for treating LAA aneurysm can be considered, but incomplete closure may occur; thus, caution is needed.https://doi.org/10.5090/kjtcs.2018.51.2.146Left atrial appendage aneurysmMinimally invasive surgeryAtriClip |
| spellingShingle | Young Woong Kim Ho Jin Kim Min Ho Ju Jae Won Lee The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach Korean Journal of Thoracic and Cardiovascular Surgery Left atrial appendage aneurysm Minimally invasive surgery AtriClip |
| title | The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach |
| title_full | The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach |
| title_fullStr | The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach |
| title_full_unstemmed | The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach |
| title_short | The Treatment of Left Atrial Appendage Aneurysm by a Minimally Invasive Approach |
| title_sort | treatment of left atrial appendage aneurysm by a minimally invasive approach |
| topic | Left atrial appendage aneurysm Minimally invasive surgery AtriClip |
| url | https://doi.org/10.5090/kjtcs.2018.51.2.146 |
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