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Low flow velocity within the left atrial appendage, as assessed by transoesophageal echocardiography, is a predictor of thromboembolism and of a low success rate of cardioversion of atrial fibrillation. However, the semi-invasive nature does limit its serial application as a screening technique.

Visualization of Left Atrial Appendage and Assessment of its Function by Transthoracic Second Harmonic Imaging and Contrast-Enhanced Pulsed Doppler