Inverted left atrial appendage developing after mitral valve replacement surgery

Abdul Rasheed Bahar , Paawanjot Kaur , Manmohan Singh , Shaun Cardozo
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Abstract

An inverted left atrial appendage (ILAA) is a rare occurrence after cardiac surgery and can be misinterpreted as a left atrial thrombus, mass, or vegetation. Transesophageal echocardiography (TEE) used post-operatively is useful in detailed visualization of the left atrium and any abnormality within it. We present a case in which a patient developed an ILAA post mitral valve replacement (MVR) and was diagnosed using TEE. We want to emphasize the importance of TEE post-operatively and that differentials for a left atrial mass must include ILAA, especially after cardiac surgery. This can help in preventing unnecessary anticoagulation and the need for surgical revision.
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二尖瓣置换手术后出现左房阑尾内翻
左房阑尾倒置(ILAA)是心脏手术后的一种罕见情况,可能会被误解为左房血栓、肿块或植被。术后使用的经食道超声心动图(TEE)有助于详细观察左心房及其内部的任何异常。我们介绍了一例患者在二尖瓣置换术(MVR)后出现 ILAA 并通过 TEE 诊断的病例。我们希望强调术后 TEE 的重要性,以及左心房肿块的鉴别必须包括 ILAA,尤其是在心脏手术后。这有助于避免不必要的抗凝治疗和手术翻修的需要。
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