We report the case of a 59-year-old man who underwent transesophageal echocardiography following a cryptogenic minor stroke. An image of a solid mass of the left atrial appendage, highly suggestive of a thrombus, was observed. The patient was treated for 10 weeks with oral anticoagulants. Because of the absence of changes in the echocardiographic appearance of the mass at follow-up, the patient was submitted to surgery. At surgical exploration no endocavitary thrombus was found, but the left atrial appendage appeared hypoplastic and dysmorphic. A biopsy was taken and the left atrial appendage was plicated. To our knowledge, this is the first report of a case of dysmorphism of the left atrial appendage mimicking a left atrial thrombus in a patient with cryptogenic minor stroke.
|Translated title of the contribution||False left atrial appendage mass ... or true mass in a virtual left atrial appendage|
|Number of pages||3|
|Journal||Italian Heart Journal Supplement|
|Publication status||Published - 2001|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine