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Congenital aneurysm of both left ventricle and left atrium


1 Department of Internal Medicine-Pediatrics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
2 Department of Pediatrics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
3 Department of Biomedical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
4 Department of Pediatric Cardiology, Bronson Children's Hospital, Kalamazoo, MI, USA

Correspondence Address:
Dr. Ryan F Halas
DO, 1000 Oakland Dr, Kalamazoo, MI 49008
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_55_17

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Year : 2018  |  Volume : 11  |  Issue : 1  |  Page : 97-99

 

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This is a case of both congenital left ventricular (LV) free wall submitral aneurysm and left atrial appendage aneurysm with 6 years of clinical follow-up. Each lesion is a rare entity, and to the best of our knowledge, this is the first case in medical literature of both lesions occurring in the same patient, raising the likelihood of a common etiology. The workup was initiated in the third trimester of fetal life with irregular heart rate and abnormal fetal ultrasound and echocardiogram at that time. The patient required emergent atrial appendage plication due to blood clot formation and suffered from multiple other complications including ventricular ectopy and surgically induced pseudoaneurysm. Follow-up interval echocardiograms have revealed continued good LV function with persistent LV aneurysm. In review of the case, there were several potential in utero causes including maternal viral upper respiratory infection and bacteriuria with exposure to amoxicillin. These as well as other considerations are discussed along with a brief review of these rare lesions, usual presentation, and known associations.






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1 Department of Internal Medicine-Pediatrics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
2 Department of Pediatrics, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
3 Department of Biomedical Sciences, Western Michigan University Homer Stryker M.D. School of Medicine, Kalamazoo, MI, USA
4 Department of Pediatric Cardiology, Bronson Children's Hospital, Kalamazoo, MI, USA

Correspondence Address:
Dr. Ryan F Halas
DO, 1000 Oakland Dr, Kalamazoo, MI 49008
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_55_17

Rights and Permissions

This is a case of both congenital left ventricular (LV) free wall submitral aneurysm and left atrial appendage aneurysm with 6 years of clinical follow-up. Each lesion is a rare entity, and to the best of our knowledge, this is the first case in medical literature of both lesions occurring in the same patient, raising the likelihood of a common etiology. The workup was initiated in the third trimester of fetal life with irregular heart rate and abnormal fetal ultrasound and echocardiogram at that time. The patient required emergent atrial appendage plication due to blood clot formation and suffered from multiple other complications including ventricular ectopy and surgically induced pseudoaneurysm. Follow-up interval echocardiograms have revealed continued good LV function with persistent LV aneurysm. In review of the case, there were several potential in utero causes including maternal viral upper respiratory infection and bacteriuria with exposure to amoxicillin. These as well as other considerations are discussed along with a brief review of these rare lesions, usual presentation, and known associations.






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