Treatment of Giant Left Atrial Diverticulum: A Case Report and Literature Review


  • Hongmu Li Department of Cardiovascular Surgery, Quanzhou First Hospital of Fujian Medical University, Quanzhou, China
  • Sunang Yan Department of Cardiovascular Surgery, Quanzhou First Hospital of Fujian Medical University, Quanzhou, China
  • Haibo Liu Department of Cardiovascular Surgery, Quanzhou First Hospital of Fujian Medical University, Quanzhou, China



In this paper, we present a giant left atrial diverticulum (LAD) in a 10-year-old girl, whose three-dimensional (3D) image reconstruction was used to help diagnosis and surgical positioning. Previously reported cases were reviewed, and the clinical characteristics of this disease also was summarized to improve the diagnosis and treatment of LAD.


Abbara S, Mundo-Sagardia JA, Hoffmann U, Cury RC. 2009. Cardiac CT assessment of left atrial accessory appendages and diverticula. AJR. American journal of roentgenology 193, 807-812.

Agematsu K, Okamura T, Ishihara K, Kurosawa H. 2009. Remarkable giant right atrial diverticulum in asymptomatic patient. Interactive cardiovascular and thoracic surgery 8, 705-707.

Binder TM, Rosenhek R, Frank H, Gwechenberger M, Maurer G, Baumgartner H. 2000. Congenital malformations of the right atrium and the coronary sinus: an analysis based on 103 cases reported in the literature and two additional cases. Chest 117, 1740-1748.

Chen Q, Cao H, Zhang GC, Huang XM. 2017. A Giant Left Atrial Diverticulum Diagnosed by Transesophageal Echocardiogram and Multidetector Computed Tomography: A Case Report and Brief Review of the Literature. The heart surgery forum 20, E082-E084.

Chockalingam A, Alagesan R, Nandakumar M, Gnanavelu G. 2003. Massive left atrial appendage aneurysm presenting as supraventricular tachycardia. Indian heart journal 55, 379-381.

De Ponti R, Lumia D, Marazzi R, Mameli S, Doni LA, De Venuto G. 2013. Left atrial diverticula in patients undergoing atrial fibrillation ablation: morphologic analysis and clinical impact. Journal of cardiovascular electrophysiology 24, 1232-1239.

Ding X, Zhu M, Wei C, Zhu H, Zhang X, Qu X. 2015. Double cardiac diverticula after pericardectomy. International journal of cardiology 201, 449-453.

Foale RA, Gibson TC, Guyer DE, Gillam L, King ME, Weyman AE. 1982. Congenital aneurysms of the left atrium: recognition by cross-sectional echocardiography. Circulation 66, 1065-1069.

Gao C, Wang R, Wang G, Wang Y. 2011. Giant left atrial diverticulum. Journal of cardiac surgery 26, 70.

Genc B, Solak A, Kantarci M, Bayraktutan U, Ogul H, Yuceler Z. 2014. Anatomical features and clinical importance of left atrial diverticula: MDCT findings. Clin Anat 27, 738-747.

Halbertsma FJ, van Oort A, van der Staak. 2002. Cardiac diverticulum and omphalocele: Cantrell's pentalogy or syndrome. Cardiology in the young 12, 71-74.

Hayashi T, Naito S, Kumagai K, Ohshima S, Hachiya H, Hirao K. 2013. Ventricular tachycardia associated with a giant right atrial diverticulum. Journal of the American College of Cardiology 62, 2341.

Herzog BA, Husmann L, Jenni R, Kaufmann PA. 2009. Diverticulum of the posterior left atrial wall. Echocardiography 26, 471-472.

Higashida A, Hoashi T, Sakaguchi H, Ichikawa H. 2018. Neonatal repair of left atrial diverticulum with gigantic thrombus without cardiopulmonary bypass. General thoracic and cardiovascular surgery 66, 232-234.

Holda MK, Koziej M, Wszolek K, Pawlik W, Krawczyk-Ozog A, Sorysz D. 2017. Left atrial accessory appendages, diverticula, and left-sided septal pouch in multi-slice computed tomography. Association with atrial fibrillation and cerebrovascular accidents. International journal of cardiology 244, 163-168.

Jenni R, Goebel N, Schneider L, Krayenbuhl HP. 1981. [Idiopathic familial right atrial dilatation]. Schweizerische medizinische Wochenschrift 111, 1565-1572.

Lei Q, Guo HM, Luo ZC. 2014. Surgical treatment of giant left atrial diverticulum in an adult. The Annals of thoracic surgery 98, 1820-1821.

Nomura K, Matsumura Y, Shinohara G, Nakamura Y. 2008. A 4-year-old girl with giant left atrial diverticulum resulting in severe mitral regurgitation. Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology 17, 254-255.

Patel SN, French A, Mathias H, Lyen S, Hamilton MC, Manghat NE. 2013. Presence of left atrial diverticula, accessory appendages, and normal variant pulmonary venous anatomy diagnosed using MDCT and adverse outcomes following radiofrequency catheter ablation therapy in patients with drug-refractory atrial fibrillation: an exploratory study. Clinical radiology 68, 762-769.

Shaher RM, Alley R, Anis W, Mintzer J. 1972. Congenital enlargement of the left atrium. The Journal of thoracic and cardiovascular surgery 63, 292-299.

Tan C, Han W, Liu X, Hu X, Liu J, Cui J. 2014. Electrophysiological characteristics of left atrial diverticulum in patients with atrial fibrillation: electrograms, impedance and clinical implications. International journal of cardiology 176, 48-54.

Terada H, Tanaka Y, Kashima K, Sannou K, Arima T. 2000. Left atrial diverticulum associated with severe mitral regurgitation. Japanese circulation journal 64, 474-476.

Victor S, Ravindran P, Maragatham S, Chockalingam V, Lakshmikanthan C. 1984. Congenital diverticulum of muscular interventricular septum in association with atrial septal defect. Indian heart journal 36, 401-402.

Wan Y, He Z, Zhang L, Li B, Sun D, Fu F. 2009. The anatomical study of left atrium diverticulum by multi-detector row CT. Surgical and radiologic anatomy : SRA 31, 191-198.



How to Cite

Li, H., Yan, S., & Liu, H. (2020). Treatment of Giant Left Atrial Diverticulum: A Case Report and Literature Review. The Heart Surgery Forum, 23(2), E098-E100.