A pregnant woman with an extra cardiac cavity: an acquired iatrogenic complication— A case report and literature review
  • Leila Bigdelu
    Divison of Cardiovascular Medicine, Vascular Surgery Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
  • Ossama Maadarani
    Critical Care Unit, Internal Medical Department, Ahmadi Hospital-Kuwait Oil Company, Kuwait

Keywords

Left atrium, left atrial appendage aneurysm, mechanical mitral prosthesis

Abstract

According to the modified World Health Organization (WHO) classification, mechanical valves pose a high maternal risk and complications for pregnant women with heart disease. Left atrial appendage aneurysm (LAAA) is a rare condition that can manifest clinically in several ways or remain silent for a long time and can be either congenital or acquired. We present the case of a pregnant woman who had a LAAA discovered several years after her last mitral valve replacement.

VIEW THE ENTIRE ARTICLE

References

  • Diamond EG, Kittle CF, Voth DW. Extreme hypertrophy of the left atrial appendage: the case of the giant dog ear. Am J Cardiol 1960;5:122–125.
  • Asfalou I, Boumaaz M, Raissouni M, Sabry M, Benyass A, Zbir EM. Huge left atrial appendage aneurysm revealed by chronic hiccups. J Saudi Heart Assoc 2017;29:293–296. doi: 10.1016/j.jsha.2017.03.009
  • Chen Y, Mou Y, Jiang LJ, Hu SJ. Congenital giant left atrial appendage aneurysm: a case report. J Cardiothorac Surg 2017;12:doi: 10.1186/s13019-017-0576-6
  • Wang B, Li H, Zhang L, He L, Zhang J, Liu C, et al. Congenital left atrial appendage aneurysm: a rare case report and literature review. Medicine (Baltimore) 2018;97:1–7.
  • Bramlet DA, Edwards JE. Congenital aneurysm of left atrial appendage. Br Heart J 1981;45(1):97–100.
  • Clark JB, Ting JG, Polinsky RJ, Wolfe LT. Resection of a giant left atrial appendage aneurysm via limited thoracotomy. World J Pediatr Congenit Heart Surg 2014;5:475–477.
  • Aryal MR, Hakim FA, Ghimire S, Ghimire S, Giri S, Pandit A, et al. Left atrial appendage aneurysm: a systematic review of 82 cases. Echocardiography 2014;31(10):1312–1318.
  • Morin J, Cantin L, Pasian S, Philippon F, Beaudoin J. Giant left atrial appendage aneurysm mimicking mediastinal mass and associated with incessant atrial arrhythmias. J Atr Fibrillation 2017;9:1539. doi: 10.4022/jafib.1539
  • Li R, Ma F, Guan HX, Pan YY, Liu LG, Wang DW, et al. Case report: giant congenital left atrial appendage aneurysm presenting with acute massive cerebral infarction and refractory atrial fibrillation: a case report and literature review. Front Cardiovasc Med 2022;9:888825. doi: 10.3389/fcvm.2022.888825
  • Sevimli S, Gundogdu F, Aksakal E, Arslan S, Gurlertop Y, Senocak H. A rare congenital anomaly: biatrial appendage aneurysm with atrial and ventricular septal defect. Echocardiography 2007;24:987–990.
  • Wang B, Li H, Zhang L, He L, Zhang J, Liu C, et al. Congenital left atrial appendage aneurysm: a rare case report and literature review. Medicine (Baltimore) 2018;97:e9344. doi: 10.1097/MD.0000000000009344
  • Brenneman DJ, Pitkin AD, Gupta D, Bleiweis MS, Reyes KM, Chandran A. Left atrial appendage aneurysm characterized by multimodal imaging. World J Pediatr Congenit Heart Surg 2020;11:N161–163. doi: 10.1177/2150135118769327
  • Yanli Z, Xiaocong W, Liping P, Yan M, Wei Y, Shu J. Diagnosis of a giant left atrial appendage aneurysm by contrast-enhanced echocardiography: case report and literature review. J Clin Ultrasound 2021;49:293–297. doi: 10.1002/ jcu.22962
  • Agmon Y, Khandheria BK, Gentile F, Seward JB. Echocardiographic assessment of the left atrial appendage. J Am Coll Cardiol 1999;34:1867–1877. doi: 10.1016/s0735-1097(99)00472-6
  • Valentino MA, Al Danaf J, Morris R, Tecce MA. Giant left atrial appendage aneurysm: a case of mistaken identity. J Cardiol Cases 2017;15:129–131. doi: 10.1016/j.jccase.2016.12.010
  • Views: 321
    HTML downloads: 59
    PDF downloads: 255


    Published: 2023-02-28
    Issue: 2023: Vol 10 No 2 (view)


    How to cite:
    1.
    Bigdelu L, Maadarani O. A pregnant woman with an extra cardiac cavity: an acquired iatrogenic complication— A case report and literature review . EJCRIM 2023;10 doi:10.12890/2023_003757.

    Most read articles by the same author(s)

    1 2 > >>