Trombo auricular gigante en paciente con prótesis aórtica y mitral mecánica. Una complicación mortal

López, Jesús Samuel Borges; Hermosillo, Julio César Rivera; Orduña, Fernando Iván Vergara; Sánchez, Luis Erik Olivares; Miranda, Edgar Fernando Herrerías

doi:10.37615/retic.v5n3a11

Cited by 1 publication

(1 citation statement)

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“…Chest X-ray findings may include alterations in the left cardiac silhouette in the form of a mass, cardiomegaly, or a combination of both. However, these findings are nonspecific and require a broad differential diagnosis, ranging from left ventricular aneurysms, cysts, and mediastinal tumors, to coronary sinus dilatation and valvulopathies with secondary dilatation [ 3 , 19 ].…”

Section: Discussionmentioning

confidence: 99%

Left Atrial Appendage Aneurysm: A Case Report and Literature Review

Ayala Torres,

Sepulveda Gallego,

Gonzalez Gonzalez

2024

Cureus

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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.

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Section: Discussionmentioning

confidence: 99%