Mechanical Discordance between Left Atrium and Left Atrial Appendage

Arash Khamooshian; Jelliffe Jeganthan; Yannis Amador; Roger J. Laham; Feroze Mahmood; Robina Matyal

doi:10.4103/aca.ACA_90_17

Mechanical Discordance between Left Atrium and Left Atrial Appendage

Arash Khamooshian, Jelliffe Jeganthan, Yannis Amador, Roger J. Laham, Feroze Mahmood^*, Robina Matyal

^*Corresponding author for this work

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Abstract

During standard transesophageal echocardiographic examinations in sinus rhythm (SR) patients, the left atrial appendage (LAA) is not routinely assessed with Doppler. Despite having a SR, it is still possible to have irregular activity in the LAA. This situation is even more important for SR patients where assessment of the left atrium is often foregone. We describe a case where we encountered this situation and briefly review how to assess the left atrium and its appendage in such a case scenario.

Original language	English
Pages (from-to)	82-84
Number of pages	3
Journal	Annals of cardiac anaesthesia
Volume	21
Issue number	1
DOIs	https://doi.org/10.4103/aca.ACA_90_17
Publication status	Published - 2018

Keywords

Left atrial appendage
mechanical discordance
transesophageal echocardiography
FIBRILLATION

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10.4103/aca.ACA_90_17Licence: CC BY-NC-SA

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Cite this

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abstract = "During standard transesophageal echocardiographic examinations in sinus rhythm (SR) patients, the left atrial appendage (LAA) is not routinely assessed with Doppler. Despite having a SR, it is still possible to have irregular activity in the LAA. This situation is even more important for SR patients where assessment of the left atrium is often foregone. We describe a case where we encountered this situation and briefly review how to assess the left atrium and its appendage in such a case scenario.",

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AU - Mahmood, Feroze

AU - Matyal, Robina

PY - 2018

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N2 - During standard transesophageal echocardiographic examinations in sinus rhythm (SR) patients, the left atrial appendage (LAA) is not routinely assessed with Doppler. Despite having a SR, it is still possible to have irregular activity in the LAA. This situation is even more important for SR patients where assessment of the left atrium is often foregone. We describe a case where we encountered this situation and briefly review how to assess the left atrium and its appendage in such a case scenario.

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KW - mechanical discordance

KW - transesophageal echocardiography

KW - FIBRILLATION

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