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Echo-of-the-Day
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Echo-of-the-Day Information
The Echo-of-the-Day is a presentation of 1 or more video loops to present an important topic in echocardiography. Please reveiw the image or video loops and then answer the questions below. After you have answered the questions you can view the explanation and obtain CME credit (if available).

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Loop Text Key  
Preop Preop TEE or TTE
Intraop An Intraop TEE
IntraopPreOp Intraop TEE or TTE before Operation
IntraopPostOp Intraop TEE or TTE after Operation
IntraopEnd Intraop TEE or TTE at End of Anesthesia
Post Op Postop TEE or TTE
Echo of the Day Information Table
IntraopEnd is usually a TEE after the Operation and after some event occured to show a change in the TEE
To Be or Not to Be
Case#: 274
AMA CME Units: 0 Units
This EOTD didn't qualify for CME credits. .
Presentation:
A patient presents for a 5 vessel CABG with the following echo loops.
 
Loop(s):
Case Discussion
 
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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