The missing left atrial appendage

Niamh M. Kilcullen; James K H Woo; Suhny Abbara; Conor D. Barrett; Aaron Baggish

doi:10.1016/j.jcct.2011.07.002

The missing left atrial appendage

Niamh M. Kilcullen, James K H Woo, Suhny Abbara, Conor D. Barrett, Aaron Baggish

Research output: Contribution to journal › Article › peer-review

Abstract

A 34 year old man underwent a transesophageal echocardiogram (TEE) prior to implantation of a biventricular ICD and DC cardioversion, to exclude left atrium and left atrial appendage thrombus. He had a history of repaired tetralogy of Fallot as a child, Stickler syndrome, atrial flutter and was status post recent mitral valve replacement, pulmonary valve replacement and tricuspid valve repair. The left atrial appendage was not visualized on TEE. A cardiac CT clarified that there was a left atrial appendage and provided an explanation as to why it was not visualized on TEE, highlighting the importance of multimodality imaging in patients with complex congenital heart disease.

Original language	English (US)
Pages (from-to)	60-61
Number of pages	2
Journal	Journal of cardiovascular computed tomography
Volume	6
Issue number	1
DOIs	https://doi.org/10.1016/j.jcct.2011.07.002
State	Published - Jan 2012

Keywords

Anatomical variation
CT
Congenital heart disease
Echocardiography
Left atrial appendage
Multimodality imaging

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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10.1016/j.jcct.2011.07.002

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AU - Kilcullen, Niamh M.

AU - Woo, James K H

AU - Abbara, Suhny

AU - Barrett, Conor D.

AU - Baggish, Aaron

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AB - A 34 year old man underwent a transesophageal echocardiogram (TEE) prior to implantation of a biventricular ICD and DC cardioversion, to exclude left atrium and left atrial appendage thrombus. He had a history of repaired tetralogy of Fallot as a child, Stickler syndrome, atrial flutter and was status post recent mitral valve replacement, pulmonary valve replacement and tricuspid valve repair. The left atrial appendage was not visualized on TEE. A cardiac CT clarified that there was a left atrial appendage and provided an explanation as to why it was not visualized on TEE, highlighting the importance of multimodality imaging in patients with complex congenital heart disease.

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KW - Multimodality imaging

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The missing left atrial appendage

Abstract

Keywords

ASJC Scopus subject areas

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