PDF(Pubmed)
Abstract：
The left atrial appendage aneurysm is an uncommon condition that has garnered attention from the medical community due to its low incidence and varied clinical manifestations. The difficulty in identification is reflected in its incidental detection in imaging studies such as echocardiograms and tomographies, while symptoms range from mild to severe, including heart failure and thromboembolic events. The complex etiology includes congenital and acquired factors, and its management focuses on preventing complications through surgical resection, accompanied by medical strategies such as controlling heart rhythm and anticoagulation. The case of a 67-year-old woman with significant medical history illustrates these challenges. Despite an inconclusive initial diagnosis, a tomography revealed an aneurysm with an intracavitary thrombus, leading to successful surgical resection. However, subsequent infectious complications resulted in her death. The average age of diagnosis is around 30 years, and while it is more common in women, there are no significant gender differences. Surgical management remains the preferred option, especially in severe cases, although in some patients, a watchful waiting approach is chosen. In conclusion, the left atrial appendage aneurysm is a complex entity that requires a multidisciplinary approach to improve clinical outcomes. Early diagnosis and appropriate treatment are crucial to prevent serious complications and improve the quality of life of affected patients.
摘要：
左心耳动脉瘤是一种罕见的疾病，由于其发病率低和临床表现多样，引起了医学界的关注。识别的困难反映在其在超声心动图和断层摄影等影像学研究中的偶然检测，虽然症状从轻度到重度不等，包括心力衰竭和血栓栓塞事件。复杂的病因包括先天因素和后天因素,其管理重点是通过手术切除预防并发症，伴随着医学策略，如控制心律和抗凝。一名具有重要病史的67岁女性的案例说明了这些挑战。尽管初步诊断不确定，断层扫描显示动脉瘤伴有腔内血栓,导致手术切除成功。然而,随后的感染并发症导致她死亡.平均诊断年龄在30岁左右,虽然这在女性中更常见，没有明显的性别差异。手术治疗仍然是首选，特别是在严重的情况下，虽然在一些患者中，选择了警惕的等待方法。总之,左心耳动脉瘤是一个复杂的实体,需要采用多学科方法来改善临床结局.早期诊断和适当的治疗对于预防严重并发症和提高受影响患者的生活质量至关重要。
