Aneurysm of the atrial appendages is an uncommon condition, with few cases described in the literature. These aneurysms are classified into 2 groups: congenital and acquired (mainly secondary to trauma). Those affecting the left atrial appendage, which were first described by Semans and Taussing in 1938, usually manifest in the third and fourth decade of life as tachyarrhythmia refractory to ph...

Paroxysmal atrial fibrillation originating from giant right atrial appendage aneurysm Zhi Fang1†, Ling Zeng2†, Yuhua Chen1†, and Kaijun Cui3* Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China; Department of Intensive Care Unit, West China Hospital, Sichuan University, Chengdu, Sichuan, People’s Republic of China; and Depa...

Sinus of Valsalva aneurysm accounts for only 1% of congenital cardiac anomalies. Sinus of Valsalva aneurysm can cause aortic insufficiency, coronary artery flow compromise, cardiac arrhythmia, or aneurysm rupture. A 44year-old male presented with a 3-month history of palpitation and exertional dyspnea. Cardiac auscultation revealed a grade III/VI ‘‘to and fro’’ murmur along the left sternal bor...

Atrial septal aneurysm (ASA) is a localised "saccular" deformity which protrudes to the right or the left atrium or on both sides. It is a rare, but well recognised cardiac abnormality. It is usually an incidental finding or may presents as atrial arrhythmias or arterial embolism. Though it is an acyanotic congenital heart disease but it may result in significant right to left shunt and cyanosi...

Atrial septal aneurysms have been related (either by association or as potential causes) to systolic clicks, atrial arrhythmias, systemic and pulmonary embolism, atrioventricular valve prolapse and atrial septal defect. To study these associations and the incidence of atrial septal aneurysm, we reviewed 80 consecutive patients (female to male ratio 1.9:1, mean age 47 years, range 1 day to 89 ye...

Holt-Oram syndrome is an autosomal dominant disorder, characterised by skeletal abnormalities of the upper limb associated with congenital heart defect, mainly atrial and ventricular septal defects. Skeletal defects exclusively affect the upper limbs in the preaxial radial ray distribution and are bilateral and asymmetrical. They range from clinodactyly, absent or digitalised thumb, hypoplastic...

BACKGROUND Congenital left atrial appendage aneurysm (LAAA) is a rare cardiac anomaly with potentially serious complications, including life-threatening systemic thromboembolism, atrial tachyarrhythmia, and cardiac dysfunction. Currently, early surgical intervention is generally recommended to prevent these complications. CASE PRESENTATION We present a case of congenital giant LAAA in a femal...

A twelve year old girl, an established case of systemic lupus erythematosus, was referred to us suffering from diplopia and nasal speech for a period of 3 months. Neurological examination was conducted which revealed a right-sided sixth nerve palsy and a pulsatile nasopharyngeal mass. Neurodiagnostic imaging studies confirmed a giant intracavernous internal carotid aneurysm. The malady of t...