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Large Atrial Appendage Thrombus in the Presence of Severe Mitral Regurgitation: Contradictory Hemodynamics or Expected Findings
Author(s) -
LópezCandales Angel,
Edelman Kathy L.
Publication year - 2004
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/j.0742-2822.2004.03120.x
Subject(s) - cardiology , medicine , thrombus , appendage , mitral valve , mitral regurgitation , thrombosis , hemodynamics , regurgitation (circulation) , lesion , surgery , anatomy
A case of a large left atrial appendage thrombus in the presence of severe mitral regurgitation is presented. The use of transesophageal echocardiography in this setting was not only useful but also crucial despite the low anticipated diagnostic yield given the expected altered left atrial flow dynamics from the turbulent regurgitant lesion. However, additional confounding factors could have acted as potential mechanisms to enhance thrombosis in this setting and consequently are discussed.