Korean Circ J.  2017 Jan;47(1):141-143. 10.4070/kcj.2016.0181.

Underdevelopment of Left Atrial Appendage

Affiliations
  • 1Division of Cardiology, Heart Center, Konyang University Hospital, Daejeon, Korea.
  • 2Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. oys@catholic.ac.kr

Abstract

A patient was admitted for catheter ablation of atrial fibrillation. Cardiac computed tomography and transesophageal echocardiography revealed the absence of the left atrial appendage. However, the right atrial appendage looked normal and the level of pro B-natriuretic peptide was within normal limits. Successful catheter ablation was performed without any procedural complications and the sinus rhythm was appropriately maintained for 10 months with an antiarrhythmic drug.

Keyword

Atrial fibrillation; Catheter ablation; Atrial appendage

MeSH Terms

Atrial Appendage*
Atrial Fibrillation
Catheter Ablation
Echocardiography, Transesophageal
Humans

Figure

  • Fig. 1 Case 1. (A) Cardiac computed tomography, in which left atrial appendage is not observed in 2D image and (B) 3D reconstructed image. (C) Left atrial angiogram reveals the absence of left atrial appendage.

  • Fig. 2 Case 2. (A) Cardiac computed tomography, in which left atrial appendage is not observed in 2D image and (B) 3D reconstructed image. (C) Left atrial angiogram revealed the absence of left atrial appendage.


Cited by  1 articles

Congenital Absence of the Left Atrial Appendage: An Unexpected and Incidental Anomaly in a Patient with Multiple Cerebellar Infarctions
Doohyuck Lee, Dongmin Kim
Chonnam Med J. 2018;54(2):133-134.    doi: 10.4068/cmj.2018.54.2.133.


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