Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-24T07:22:51.263Z Has data issue: false hasContentIssue false

Inverted left atrial appendage in an infant during cardiac surgery

Published online by Cambridge University Press:  28 April 2014

Ismihan S. Onan*
Affiliation:
Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
Sertac Haydin
Affiliation:
Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
Mehmet Yeniterzi
Affiliation:
Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Education and Research Hospital, Department of Cardiovascular Surgery, Istanbul, Turkey
*
Correspondence to: I. S. Onan, MD, Istanbul Mehmet Akif Ersoy Cardiovascular Surgery Education and Research Hospital, Department of Cardiovascular Surgery, Turgut Ozal Bulvari No. 11, Kucukcekmece 34303, Istanbul, Turkey. Tel: +00 90 212 6922000/1398, 00 90 553 4794289; Fax: +00 90 212 4719494; E-mail: [email protected]

Abstract

Inverted left atrial appendage is an unusual complication associated with congenital cardiac surgery. Inversion of the left atrial appendage may occur during the surgical procedure or afterwards. The left atrial appendage may invert iatrogenically or as a result of the negative pressure during placement or removal of the left atrial vent or during deairing manoeuvres. This event can be life-threatening because of the mass effect of the atrial appendage within the left atrial cavity.

Type
Brief Reports
Copyright
© Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Slavik, Z, Salmon, P, Lamb, RK. Unusual left atrial mass following cardiac surgery in an infant. Eur J Cardiothorac Surg 1994; 8: 566567.Google Scholar
2. Minich, LL, Hawkins, JA, Tani, LY, et al. Inverted left atrial appendage presenting as an usual left atrial mass. J Am Soc Echocardiogr 1995; 8: 328330.CrossRefGoogle Scholar
3. Corno, AF. Inverted left atrial appendage. J Thorac Cardiovasc Surg 1998; 114: 12231224.Google Scholar
4. Chicwe, J, Fischer, GW, Adams, DH. Inverted left atrial appendage. J Am Coll Cardiol 2009; 54: e7.Google Scholar
5. Toma, DM, Stewart, RB, Miyake-Hull, CY, et al. Inverted left atrial appendage mimicking a left atrial mass during mitral valve repair. J Am Soc Echocardiogr 1995; 8: 557559.Google Scholar
6. Cohen, AJ, Tamir, A, Yanai, O, et al. Inverted left atrial appendage presenting as a left atrial mass after cardiac surgery. Ann Thorac Surg 1999; 67: 14891491.Google Scholar
7. Vincentelli, A, Juthier, F, Letourneau, T, et al. An inverted left atrial appendage mimicking an intraatrial thrombus after a ross operation. J Heart Valve Dis 2005; 14: 780782.Google ScholarPubMed
8. Allen, BS, Ilbawi, M, Hartz, R, Kumar, S, Thoele, D. Inverted left atrial appendage: an unrecognized cause of left atrial mass. J Thorac Cardiovasc Surg 1997; 114: 278280.Google Scholar