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General Thoracic and Cardiovascular Surgery

, Volume 66, Issue 4, pp 232–234 | Cite as

Neonatal repair of left atrial diverticulum with gigantic thrombus without cardiopulmonary bypass

  • Akihiko Higashida
  • Takaya Hoashi
  • Heima Sakaguchi
  • Hajime Ichikawa
Case Report

Abstract

A 5-day-old neonate with coarctation of the aorta, hypoplastic aortic arch, large apical muscular ventricular septal defect, and patent ductus arteriosus developed pulmonary over-circulation and systemic hypoperfusion underwent bilateral pulmonary artery banding through median sternotomy as a part of hybrid stage I palliation. At operation, left atrial diverticulum with gigantic thrombus formation at the base of the left atrial appendage was incidentally detected by intraoperative direct echocardiography, and therefore, was successfully resected with the whole thrombus inside it without use of cardiopulmonary bypass. Histopathological finding was compatible with diverticulum. The patient was free from atrial arrhythmia and recurrent thrombus formation.

Keywords

Neonate Left atrial diverticulum Surgery 

Notes

Compliance with ethical standards

Conflict of interest

The authors have declared that no conflict of interest exists.

References

  1. 1.
    Pitts RM, Potts W. Congenital diverticulum of the left atrium. Arch Surg. 1962;84:334–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Thadani U, Whitaker W, Watson DA. Congenital intrapericardial aneurysms of the left atrium. Thorax. 1975;30:102–9.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Srinivasan V, Levinsky L, Idbeis B, Gingell RL, Pieroni DR, Subramanian S. Congenital diverticulum of the left atrium. Cardiovasc Dis. 1980;7:405–10.PubMedPubMedCentralGoogle Scholar
  4. 4.
    McGuinness J, Kindawi A, Tajri S, Walsh K, Nolke L, Wood AE. Surgical management of giant left atrial diverticulum. J Thorac Cardiovasc Surg. 2007;133:820–2.CrossRefPubMedGoogle Scholar
  5. 5.
    Nomura K, Matsumura Y, Shinohara G, Nakamura Y. A 4-year-old girl with giant left atrial diverticulum resulting in severe mitral regurgitation. Cardiovasc Pathol. 2008;17:254–5.CrossRefPubMedGoogle Scholar
  6. 6.
    Lei Q, Guo HM, Luo ZC. Surgical treatment of giant left atrial diverticulum in an adult. Ann Thorac Surg. 2014;98:1820–1.CrossRefPubMedGoogle Scholar
  7. 7.
    Abbara S, Mundo-Sagardia JA, Hoffmann U, Cury RC. Cardiac CT assessment of left atrial accessory appendages and diverticula. AJR Am J Roentgenol. 2009;193:807–12.CrossRefPubMedGoogle Scholar
  8. 8.
    Wan Y, He Z, Zhang L, et al. The anatomical study of left atrium diverticulum by multi-detector row CT. Surg Radiol Anat. 2009;31:191–8.CrossRefPubMedGoogle Scholar

Copyright information

© The Japanese Association for Thoracic Surgery 2017

Authors and Affiliations

  1. 1.Departments of Pediatric Cardiovascular SurgeryNational Cerebral and Cardiovascular CenterSuitaJapan
  2. 2.Department of Pediatric CardiologyNational Cerebral and Cardiovascular CenterSuitaJapan

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