Congenital Intrapericardial Left Atrial Appendage Aneurysm Presenting with an Embolic Stroke - A case report -

뇌졸증을 병발한 선천성 심낭내 좌심방이류 - 1예 보고 -

  • Suh, Jong-Hui (Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Kim, Yong-Hwan (Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine) ;
  • Jeon, Hui-Kyung (Department of Internal Medicine, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 서종희 (가톨릭대학교 의과대학 의정부성모병원 흉부외과학교실) ;
  • 김용환 (가톨릭대학교 의과대학 의정부성모병원 흉부외과학교실) ;
  • 전희경 (가톨릭대학교 의과대학 의정부성모병원 심장내과학교실)
  • Published : 2008.10.05

Abstract

Congenital intrapericardial left atrial appendage aneurysms (LAAA) are very rare. Most cases are asymptomatic and this malady is generally incidentally diagnosed in older patients. LAAAs are usually accompanied with supraventricular arrhythmias and life-threatening systemic embolism. Complete surgical correction is recommended immediately after the diagnosis to prevent significant complications, and even for the asymptomatic patients. We report here on the case of a 45-year-old man who presented with cerebral embolism due to LAAA. The patient was successfully treated with a resection of the aneurysm.

선천성 심낭내 좌심방이류는 매우 드문 질환이다. 대부분의 경우 증상이 없으며 일반적으로 성인 환자에서 우연히 진단된다. 상심실성부정맥과 치명적인 혈전색전증의 발생이 문제되며, 무증상의 환자에서도 이를 예방하기 위해 진단 즉시 수술이 추천된다. 저자들은 45세 남자 환자에서 뇌졸증을 병발한 선천성 심낭내 좌심방이류의 수술적 제거를 치험하였기에 보고하는 바이다.

Keywords

References

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