| Autor: |
Dutta, Nilanjan, Das, Debasis, Chakraborty, Unmesh, Das, Shubhadeep, Sharma, Manish Kumar, Gajpal, Shivani, Chattopadhyay, Amitabha, Ghosh, Sanjiban, Das, Jayita Nandy |
| Předmět: |
|
| Zdroj: |
Annals of Pediatric Cardiology; Sep/Oct2023, Vol. 16 Issue 5, p378-380, 3p |
| Abstrakt: |
We report a unique intraoperative finding of an additional double left atrial appendage (LAA) during an arterial switch operation with ventricular septal defect closure in a 4-month-old girl. Immediately after the procedure, a prolapsing mass within the left atrium (LA) on the transesophageal echocardiogram raised concerns of a possible thrombus. The LAA was clearly visible with a pressure monitoring line which was put intraoperatively. To investigate further, cardiopulmonary bypass was resumed, and the heart was arrested and explored. There was an appendage-like structure, separate from the one that had the pressure monitoring line, which was inverted inside. It was pulled out from outside clearly establishing a double LAA. This report illustrates an example of a diagnostic dilemma caused by a double atrial appendage which was invaginated into LA masquerading as a mass or thrombus. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
