[Successful treatment of atrial fibrillation by resection of a congenital aneurysm of the left heart atrium].
Atrial fibrillation occurred in a 27-year-old patient with a history of globular cardiac enlargement since childhood. Because of the probable causal relationship between the preexisting heart disease-which was supposed to be an enlargement of the left atrium-and the rhythm disturbance, we recommended a surgical intervention. Cardiac surgery revealed a congenital aneurysm of the left atrial appendage which could be resected without any complication. Postoperatively, atrial fibrillation had returned to regular sinus rhythm. The bad prognosis with a high risk of systemic embolism is the reason why early cardiac surgery should be performed after diagnosis of this rare anomaly (20 reported cases) of the left atrium.
Heigl
F
F
Medizinische Klinik I, Universität München.
Steinbeck
G
G
Rienmüller
R
R
Kemkes
B M
BM
Klinner
W
W
D000328:Adult; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003937:Diagnosis, Differential; D004452:Echocardiography; D004695:Endocardial Fibroelastosis / Q000473:pathology; D006322:Heart Aneurysm / Q000151:congenital* / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D006325:Heart Atria / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed
Erfolgreiche Behandlung von Vorhofflimmern durch Resektion eines kongenitalen Aneurysmas des linken Herzohres.