Atrial fibrillation and embolic events are the most common clinical symptom
s of congenital right- or left-atrial aneurysms. We report an a case of rig
h-atrial aneurysm, in a pa patient with typical history of atrial fibrillat
ion and history of stroke. The aneurysm was resected, but the patient suffe
red from acute embolic occlusion of the left anterior descending coronary a
rtery on the fourth postoperative day despite of systemic heparinization wi
th 300 IU/kg bw per 24 hours.