Imaging reveals a fifth heart chamber: Diagnosing and treating a massive left atrial appendage aneurysm

Saad Abuzahra; Anas Odeh; Issa Khdour; Muath Nairat; Murad Azamtta; Motaz Saifi; Omar Younis; Yunis Daralammouri

doi:10.1016/j.radcr.2023.11.049

Imaging reveals a fifth heart chamber: Diagnosing and treating a massive left atrial appendage aneurysm

Radiol Case Rep. 2023 Dec 30;19(3):1136-1140. doi: 10.1016/j.radcr.2023.11.049. eCollection 2024 Mar.

Authors

Saad Abuzahra¹, Anas Odeh¹, Issa Khdour^{2

3}, Muath Nairat^{2

3}, Murad Azamtta^{2

4}, Motaz Saifi¹, Omar Younis¹, Yunis Daralammouri^{2

4}

Affiliations

¹ School of Medicine, Faculty of Medicine and Health Sciences, An Najah National University, Nablus, Palestine.
² Department of Medicine, College of Medicine and Health Sciences, An-Najah National University, Nablus, 44839, Palestine.
³ Department of Cardiothoracic Surgery, An-Najah National University Hospital, Nablus, 44839, Palestine.
⁴ Department of Cardiology, An-Najah National University Hospital, Nablus, 44839, Palestine.

Abstract

In this case report, a 33-year-old male with a history of smoking presented with recurrent palpitations and chest discomfort. Holter monitoring revealed atrial flutter, and imaging showed a giant left atrial appendage aneurysm. Due to the risk of arrhythmias and thromboembolic events, surgical resection was performed successfully. This case underscores the importance of considering uncommon structural cardiac abnormalities in the evaluation of arrhythmia symptoms in young patients.

Keywords: Arrhythmia; Cardiac imaging; Left atrial appendage aneurysm; Left atrial appendage aneurysm resection; Left atrium.

Publication types

Case Reports