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Inverted left atrial appendage during minimally invasive mitral valve repair


Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan

Correspondence Address:
Kazuto Miyata
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo
Japan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_172_17

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Year : 2018  |  Volume : 21  |  Issue : 2  |  Page : 192-194

 

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Inverted left atrial appendage (LAA) is a rare complication in cardiac surgery. The echocardiographic appearance often leads to misdiagnosis of thrombus or some other cardiac mass. Patients misdiagnosed in this way often undergo unnecessary anticoagulation or surgical treatment. Recently, minimally invasive mitral valve surgery (MIMVS) has become more widespread. However, as the incision for MIMVS through the right thoracotomy is very small, the inverted LAA is not within the surgical field of the cardiac surgeon. We present a case of inverted LAA during MIMVS and provide images from transesophageal echocardiography.






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Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan

Correspondence Address:
Kazuto Miyata
Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo
Japan
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_172_17

Rights and Permissions

Inverted left atrial appendage (LAA) is a rare complication in cardiac surgery. The echocardiographic appearance often leads to misdiagnosis of thrombus or some other cardiac mass. Patients misdiagnosed in this way often undergo unnecessary anticoagulation or surgical treatment. Recently, minimally invasive mitral valve surgery (MIMVS) has become more widespread. However, as the incision for MIMVS through the right thoracotomy is very small, the inverted LAA is not within the surgical field of the cardiac surgeon. We present a case of inverted LAA during MIMVS and provide images from transesophageal echocardiography.






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