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Home->EOTD AMA Category 1 Credit for Physicians Only. ASRT CME is not available. |
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Echo-of-the-Day Information
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The 2D echo loops show spontaneous echo contrast in the left atrial appendage, atrial fibrillation, left atrial enlargement, good right ventricular function and a thrombus in the left atrial appendage. On 3D the left atrial appendage is visualized but the thrombus is not evident. A left atrial thrombus can be confused with the trabeculae in the left atrium or the presence of a bifid or trifid left atrial eppendage. Actually, a bifid left atrial appendage is more common than a single lumen left atrial appendage. Since the patient is in atrial fibrillation and a thrombus in the left atrial appendage is present, the patient should have a MAZE procedure done along with a left atrial appendagectomy. |
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