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

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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.

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References

  1. Pitts RM, Potts W. Congenital diverticulum of the left atrium. Arch Surg. 1962;84:334–6.

    Article  CAS  PubMed  Google Scholar 

  2. Thadani U, Whitaker W, Watson DA. Congenital intrapericardial aneurysms of the left atrium. Thorax. 1975;30:102–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  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.

    CAS  PubMed  PubMed Central  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  6. Lei Q, Guo HM, Luo ZC. Surgical treatment of giant left atrial diverticulum in an adult. Ann Thorac Surg. 2014;98:1820–1.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Departments of Pediatric Cardiovascular Surgery, National Cerebral and Cardiovascular Center, 5-7-1, Fujishiro-dai, Suita, Osaka, 565-8565, Japan

    Akihiko Higashida, Takaya Hoashi & Hajime Ichikawa

  2. Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Suita, Osaka, 565-8565, Japan

    Heima Sakaguchi

Authors
  1. Akihiko Higashida
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  2. Takaya Hoashi
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  3. Heima Sakaguchi
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  4. Hajime Ichikawa
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Correspondence to Takaya Hoashi.

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The authors have declared that no conflict of interest exists.

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Higashida, A., Hoashi, T., Sakaguchi, H. et al. Neonatal repair of left atrial diverticulum with gigantic thrombus without cardiopulmonary bypass. Gen Thorac Cardiovasc Surg 66, 232–234 (2018). https://doi.org/10.1007/s11748-017-0775-z

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  • DOI: https://doi.org/10.1007/s11748-017-0775-z

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