Heart Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Imaging Center, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Echocardiography. 2020 Jun;37(6):917-921. doi: 10.1111/echo.14677. Epub 2020 Jun 7.
Left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially life-threatening complications of atrial tachyarrhythmias and systemic thromboembolism. It is often diagnosed incidentally and rarely during childhood. Echocardiography is considered the primary method of LAAA diagnosis; in particular, the subxiphoid view is more useful in pediatrics. Surgical intervention and drug management are recommended to prevent potentially lethal complications. Herein, we report five cases of patients with LAAA during infancy and childhood, caused by both congenital and acquired conditions. One patient underwent surgical resection through left lateral thoracotomy without cardiopulmonary bypass and another patient underwent drug management.
左心耳动脉瘤（LAAA）是一种罕见的心脏畸形，可能会导致危及生命的心房性心动过速和全身性血栓栓塞等并发症。它通常是在偶然情况下，尤其是在儿童时期被诊断出来的。超声心动图被认为是 LAAA 诊断的主要方法；特别是在儿科中，剑突下切面更为有用。推荐进行手术干预和药物治疗以预防潜在的致命并发症。在此，我们报告了 5 例婴幼儿 LAAA 患者，病因包括先天性和获得性疾病。1 例患者通过左侧开胸手术（无需体外循环）进行了手术切除，另 1 例患者接受了药物治疗。
