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).

You can change the size and the format of the image or video loops by using the links below the image or video loop.

= MP4 Video	= Ogg Video
= WebM Video	= GIF Image
Image/Video Sizes	= JPG Image
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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.

CME Section

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