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Z Kardiol. 1992 Oct;81(10):565-70.

[Successful treatment of atrial fibrillation by resection of a congenital aneurysm of the left heart atrium].

[Article in German]

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  • 1Medizinische Klinik I, Universität München.

Abstract

Atrial fibrillation occurred in a 27-year-old patient with a history of globular cardiac enlargement since childhood. Because of the probable causal relationship between the preexisting heart disease-which was supposed to be an enlargement of the left atrium-and the rhythm disturbance, we recommended a surgical intervention. Cardiac surgery revealed a congenital aneurysm of the left atrial appendage which could be resected without any complication. Postoperatively, atrial fibrillation had returned to regular sinus rhythm. The bad prognosis with a high risk of systemic embolism is the reason why early cardiac surgery should be performed after diagnosis of this rare anomaly (20 reported cases) of the left atrium.

PMID:
1441698
[PubMed - indexed for MEDLINE]
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