Diagnosis of a bilobed left atrial appendage and pectinate muscles mimicking thrombi on Real-time 3-dimensional transesophageal echocardiography

Journal of Ultrasound in Medicine

Volumn 29, Issue 6, 2010, Pages 975-980

  Willens, Howard J ^a,b   Qin, Jian Xin ^a   Keith, Karen ^c   Torres, Silvia ^a  

^a UNIVERSITY OF MIAMI MILLER SCHOOL OF MEDICINE   (United States)

^b VETERANS AFFAIRS MEDICAL CENTER   (United States)

^c PHILIPS HEALTHCARE   (United States)

Author keywords

3 dimensional transesophageal echocardiography; Atrial fibrillation; Cardioversion; Left atrium; Thrombus

Indexed keywords

DIAGNOSIS; MUSCLE;

ATRIAL FIBRILLATION; CARDIOVERSION; LEFT ATRIUMS; THROMBUS; TRANSESOPHAGEAL ECHOCARDIOGRAPHIES;

ECHOCARDIOGRAPHY;

AGED; ARTICLE; CARDIOVERSION; CASE REPORT; DIFFERENTIAL DIAGNOSIS; ECHOGRAPHY; FEMALE; HEART ATRIUM; HEART ATRIUM APPENDAGE; HEART MUSCLE; HUMAN; MALE; MIDDLE AGED; PATHOLOGY; THREE DIMENSIONAL ECHOCARDIOGRAPHY; THROMBOSIS; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

AGED; ATRIAL APPENDAGE; DIAGNOSIS, DIFFERENTIAL; ECHOCARDIOGRAPHY, THREE-DIMENSIONAL; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; ELECTRIC COUNTERSHOCK; FEMALE; HEART ATRIA; HUMANS; MALE; MIDDLE AGED; MYOCARDIUM; THROMBOSIS;

EID: 77953001518     PISSN: 02784297     EISSN: None     Source Type: Journal    
DOI: 10.7863/jum.2010.29.6.975     Document Type: Article

References (16)

1. Fuster V, Rydén LE, Asinger RW, et al. ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and Policy Conferences (Committee to Develop Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the North American Society of Pacing and Electrophysiology. J Am Coll Cardiol 2001; 38:1231-1266.
2. Veinot JP, Harrity PJ, Gentile F, et al. Anatomy of the normal left atrial appendage: a quantitative study of age-related changes in 500 autopsy hearts-implications for echocardiographic examination. Circulation 1997; 96: 3112-3115.
3. Donal E, Yamada H, Leclercq C, Herpin D. The left atrial appendage, a small, blind-ended structure: a review of its echocardiographic evaluation and its clinical role. Chest 2005; 128:1853-1862.
4. Shah SJ, Bardo DM, Sugeng L, et al. Real-time threedimensional transesophageal echocardiography of the left atrial appendage: initial experience in the clinical setting. J Am Soc Echocardiogr 2008; 21:1362-1368.
5. Stöllberger C, Ernst G, Bonner E, Finsterer J, Slany J. Left atrial appendage morphology: comparison of transesophageal images and postmortem casts. Z Kardiol 2003; 92:303-308.
6. Schneider B, Stöllberger C, Schneider B. Diagnosis of left atrial appendage thrombi by multiplane transesophageal echocardiography: interlaboratory comparative study. Circ J 2007; 71:122-125.
7. von der Recke G, Schmidt H, Illien S, Lüderitz B, Omran H. Use of transesophageal contrast echocardiography for excluding left atrial appendage thrombi in patients with atrial fibrillation before cardioversion. J Am Soc Echocardiogr 2002; 15:1256-1261.
8. Karakus G, Kodali V, Inamdar V, Nanda NC, Suwanjutah T, Pothineni KR. Comparative assessment of left atrial appendage by transesophageal and combined two- and three-dimensional transthoracic echocardiography. Echocardiography 2008; 25:918-924.
9. Khan GN, Dairywala IT, Liu Z, Li P, Carroll J, Vannan MA. Three-dimensional echocardiography of left atrial appendage thrombus. Echocardiography 2001; 18:163-166.
10. O'Gara P, Sugeng L, Lang R, et al. The role of imaging in chronic degenerative mitral regurgitation. JACC Cardiovasc Imaging 2008; 1:221-237.
11. Kronzon I, Sugeng L, Perk G, et al. Real-time 3-dimensional transesophageal echocardiography in the evaluation of post-operative mitral annuloplasty ring and prosthetic valve dehiscence. J Am Coll Cardiol 2009; 53:1543-1547.
12. Lodato JA, Cao Q L, Weinert L, et al. Feasibility of real-time three-dimensional transesophageal echocardiography for guidance of percutaneous atrial septal defect closure. Eur J Echocardiogr 2009; 10:543-548.
13. Taniguchi M, Akagi T, Watanabe N, et al Application of real-time three-dimensional transesophageal echocardiography using a matrix array probe for transcatheter closure of atrial septal defect. J Am Soc Echocardiogr 2009; 22: 1114-1120.
14. Mizuguchi KA, Burch TM, Bulwer BE, Fox AA, Rizzo RJ, Shernan SK. Thrombus or bilobar left atrial appendage? Diagnosis by real-time three-dimensional transesophageal echocardiography. Anesth Analg 2009; 108:70-72.
15. Cummisford K, Sundar S, Hagberg R, Mahmood F. Realtime three-dimensional transesophageal echocardiography and a congenital bilobar left atrial appendage [published online ahead of print June 24, 2009]. J Cardiothorac Vasc Anesth. doi:10.1053/j.jvca.2009.04.005.
16. Latcu DG, Rinaldi JP, Saoudi N. Real-time three-dimensional transesophageal echocardiography for diagnosis of left atrial appendage thrombus. Eur J Echocardiogr 2009; 10:711-712.