(Circulation. 2006;114:e511-e512.)
© 2006 American Heart Association, Inc.
Images in Cardiovascular Medicine |
From Center of Cardiac Surgery (T.S., M.W., A.R.), Department of Paediatric Cardiology, University Hospital for Children and Adolescents (A.K., H.S.), and Department of Obstetrics and Gynecology (R.L.S.), Friedrich-Alexander-University of Erlangen-Nuremberg, Erlangen, Germany.
Correspondence to Dr. Thomas Strecker, Center of Cardiac Surgery, Friedrich-Alexander-University of Erlangen-Nuremberg, Krankenhausstr. 12, D-91054 Erlangen, Germany. E-mail thomas.strecker@herz.imed.uni-erlangen.de
An extract of the first 250 words of the full text is provided, because this article has no abstract. |
A 1-day-old boy who had been born at 40 weeks gestation weighing 3570 g was referred to our hospital for surgical resection of a giant compressive aneurysm of the left auricle. Fetal echocardiography at 34 weeks gestation had shown a large cavern structure lateral to the left atrium and left ventricle (Figure 1). At birth, the newborn was asymptomatic, and clinical examination was otherwise unremarkable. Immediate postnatal transthoracic echocardiography revealed a 30x35-mm large thrombotic aneurysm of the left auricle communicating with the left atrium through an orifice (Figure 2 and online-only Data Supplement). Because of the progressive compression of the left ventricle and the occurrence of an intracardiac thrombus, an early surgical management was required.
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Cardiopulmonary bypass was performed via aorto-bicaval cannulation with moderate hypothermia. Intraoperatively, there was a huge aneurysmatic sac of the left auricle that compromised the left ventricle (Figure 3). The aneurysmal left auricle was completely resected (Figure 4). At the end of surgery, the young patient was
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