# Worsening Hiccups, Dyspnea, and Angina in a 67-Year-Old Woman: A Challenging Case

## TL;DR

A rare heart condition called left atrial appendage aneurysm is presented in a 67-year-old woman with worsening symptoms, emphasizing the need for early surgical treatment.

## Contribution

Highlights the importance of early surgical intervention for left atrial appendage aneurysm to prevent serious complications.

## Key findings

- Left atrial appendage aneurysm can present with hiccups, dyspnea, and angina.
- Early surgical intervention is recommended to prevent thromboembolic complications and arrhythmias.

## Abstract

In this publication, we present a left atrial appendage aneurysm (LAAA) case diagnosed with a cardiac CT scan of a 67-year-old woman with worsening hiccups, dyspnea, and chest pain. This is a rare cardiac condition with only 150 cases reported to date. LAAA can manifest as diastolic dysfunction, angina, hiccups, arrhythmias, dyspnea, and rare but potentially serious complications such as systemic embolism and rupture leading to death. Our findings highlight the importance of early surgical intervention, even in asymptomatic patients, to mitigate potential thromboembolic complications and address associated atrial arrhythmias.