European Heart Journal (1990) 11, 848-853
Giant intrapericardial aneurysm of the left atrial appendage P. J. G. M. FRAMBACH*, G. G. GESKEst, E. C. CHERIEX*, H. J. J. WELLENS*, ANDO. C. K. M. PENNt From the Departments of * Cardiology and fCardiothoracic Surgery, Academic Hospital Maastricht, The Netherlands KEY WORDS: Aneurysm, left atrial appendage. A young patient is reported with an aneurysm of the left atrial appendage having supraventricular arrhythmias and a period of chest pain accompanied by a rise in cardiac enzymes. Compression of the left anterior descending coronary artery by the aneurysm was felt to be responsible for the myocardial injury. Case report
neck (diameter 2-3 cm) and contained a large, organized thrombus adherent to the infero-lateral A 15-year-old boy was referred to our clinic for wall (Fig. 3). The left ventricle was displaced to the evaluation of chest pain and palpitations. Severe right and had an overall diminished contraction chest pain started 5 h prior to admission while play- pattern with dyskinesia of the apical area. ing soccer. There was no history of trauma. Fifteen Laboratory investigation showed an enzyme inmin after the onset of pain the patient also expericrease suggestive of myocardial infarction: SGOT enced palpitations, accompanied by dizziness. Chest 91 U r 1 (normal value
Giant intrapericardial aneurysm of the left atrial appendage P. J. G. M. FRAMBACH*, G. G. GESKEst, E. C. CHERIEX*, H. J. J. WELLENS*, ANDO. C. K. M. PENNt From the Departments of * Cardiology and fCardiothoracic Surgery, Academic Hospital Maastricht, The Netherlands KEY WORDS: Aneurysm, left atrial appendage. A young patient is reported with an aneurysm of the left atrial appendage having supraventricular arrhythmias and a period of chest pain accompanied by a rise in cardiac enzymes. Compression of the left anterior descending coronary artery by the aneurysm was felt to be responsible for the myocardial injury. Case report
neck (diameter 2-3 cm) and contained a large, organized thrombus adherent to the infero-lateral A 15-year-old boy was referred to our clinic for wall (Fig. 3). The left ventricle was displaced to the evaluation of chest pain and palpitations. Severe right and had an overall diminished contraction chest pain started 5 h prior to admission while play- pattern with dyskinesia of the apical area. ing soccer. There was no history of trauma. Fifteen Laboratory investigation showed an enzyme inmin after the onset of pain the patient also expericrease suggestive of myocardial infarction: SGOT enced palpitations, accompanied by dizziness. Chest 91 U r 1 (normal value
