Bifid left atrial appendage with thrombus: Source of thromboembolism

被引:4
作者
Herzog, E [1 ]
Sherrid, M [1 ]
机构
[1] Columbia Univ, Coll Phys & Surg, Div Cardiol, St Lukes Roosevelt Hosp Ctr, New York, NY USA
关键词
D O I
10.1016/S0894-7317(98)70013-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Three patients with embolic events were found on transesophageal echocardiography (TEE) to have bifid left atrial appendage (LAA). In these patients, large mobile thrombi were found only in the posterior limb of the appendage. The best views to demonstrate the posterior limb were between 85 and 155 degrees from the transverse plane with the use of a multiplane TEE probe. To avoid overlooking this pathologic condition, we recommend that complete evaluation of the LAA should include rotation of the TEE transducer up to 155 degrees from the transverse plane.
引用
收藏
页码:910 / 915
页数:6
相关论文
共 13 条
[1]   TRANSESOPHAGEAL TWO-DIMENSIONAL ECHOCARDIOGRAPHY FOR THE DETECTION OF LEFT ATRIAL APPENDAGE THROMBUS [J].
ASCHENBERG, W ;
SCHLUTER, M ;
KREMER, P ;
SCHRODER, E ;
SIGLOW, V ;
BLEIFELD, W .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1986, 7 (01) :163-166
[2]   MULTIPLANE TRANSESOPHAGEAL ECHOCARDIOGRAPHIC ASSESSMENT OF LEFT ATRIAL APPENDAGE ANATOMY AND FUNCTION [J].
CHAN, SK ;
KANNAM, JP ;
DOUGLAS, PS ;
MANNING, WJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1995, 76 (07) :528-&
[3]   Reductase inhibitor monotherapy and stroke prevention [J].
Crouse, JR ;
Byington, RP ;
Hoen, HM ;
Furberg, CD .
ARCHIVES OF INTERNAL MEDICINE, 1997, 157 (12) :1305-1310
[4]   TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE DETECTION OF POTENTIAL CARDIAC SOURCE OF EMBOLISM IN STROKE PATIENTS [J].
CUJEC, B ;
POLASEK, P ;
VOLL, C ;
SHUAIB, A .
STROKE, 1991, 22 (06) :727-733
[5]   INVERSION OF THE LEFT ATRIAL APPENDAGE - CLINICAL AND ECHOCARDIOGRAPHIC CORRELATES [J].
DANFORD, DA ;
CHEATHAM, JP ;
VANGUNDY, JC ;
MOHIUDDIN, SM ;
FLEMING, WH .
AMERICAN HEART JOURNAL, 1994, 127 (03) :719-721
[6]   TRANSESOPHAGEAL ECHOCARDIOGRAPHY IN THE EVALUATION OF STROKE [J].
DEROOK, FA ;
COMESS, KA ;
ALBERS, GW ;
POPP, RL .
ANNALS OF INTERNAL MEDICINE, 1992, 117 (11) :922-932
[7]   MORPHOLOGY OF THE LEFT ATRIAL APPENDAGE [J].
ERNST, G ;
STOLLBERGER, C ;
ABZIEHER, F ;
VEITDIRSCHERL, W ;
BONNER, E ;
BIBUS, B ;
SCHNEIDER, B ;
SLANY, J .
ANATOMICAL RECORD, 1995, 242 (04) :553-561
[8]   PROGNOSTIC IMPLICATIONS OF LEFT ATRIAL SPONTANEOUS ECHO CONTRAST IN NONVALVULAR ATRIAL-FIBRILLATION [J].
LEUNG, DYC ;
BLACK, IW ;
CRANNEY, GB ;
HOPKINS, AP ;
WALSH, WF .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1994, 24 (03) :755-762
[9]   CARDIOVERSION FROM ATRIAL-FIBRILLATION WITHOUT PROLONGED ANTICOAGULATION WITH USE OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY TO EXCLUDE THE PRESENCE OF ATRIAL THROMBI [J].
MANNING, WJ ;
SILVERMAN, DI ;
GORDON, SPF ;
KRUMHOLZ, HM ;
DOUGLAS, PS .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (11) :750-755
[10]   ACCURACY OF TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR IDENTIFYING LEFT ATRIAL THROMBI - A PROSPECTIVE, INTRAOPERATIVE STUDY [J].
MANNING, WJ ;
WEINTRAUB, RM ;
WAKSMONSKI, CA ;
HAERING, JM ;
ROONEY, PS ;
MASLOW, AD ;
JOHNSON, RG ;
DOUGLAS, PS .
ANNALS OF INTERNAL MEDICINE, 1995, 123 (11) :817-+