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Left atrial appendage neovascularisation with coronary to LA fistula
Journal of Indian College of Cardiology 6 (2016) 114
Contents lists available at ScienceDirect
Journal of Indian College of Cardiology journal homepage: www.elsevier.com/locate/jicc
Abstract
Left atrial appendage neovascularisation with coronary to LA fistula P. Vijay Shekar *, Satvic Manjunath, Veeresh Patil, A. Rajeev, Dattatreya, L. Shridhar, Prabhavathi, C.N. Manjunath
Left atrial appendage (LAA) clot identification in patients with rheumatic heart disease with mitral stenosis is crucial because of the high risk of thrombo-embolic complications. Although transthoracic and transesophagal echocardiography (TTE and TEE) are routinely used in detection of LAA clot, it can also be detected by coronary angiography. We report a case of rheumatic heart disease and severe mitral stenosis, who underwent coronary angiography as a part of pre-operative evaluation. Presence of LAA clot was identified by presence of neovascularisation of LAA and coronary to LA fistula.
* Corresponding author. http://dx.doi.org/10.1016/j.jicc.2016.11.059 1561-8811/
Left upper panel: RAO cranial view with black arrow indicating neovascularisation of LAA-presence of thrombus. Right upper panel: RAO caudal with blue arrow indicating coronary to LA fistula. Lower panel: RAO caudal (late phase) demonstrating fistula to LA. Conflicts of interest The authors have none to declare.
Contents lists available at ScienceDirect
Journal of Indian College of Cardiology journal homepage: www.elsevier.com/locate/jicc
Abstract
Left atrial appendage neovascularisation with coronary to LA fistula P. Vijay Shekar *, Satvic Manjunath, Veeresh Patil, A. Rajeev, Dattatreya, L. Shridhar, Prabhavathi, C.N. Manjunath
Left atrial appendage (LAA) clot identification in patients with rheumatic heart disease with mitral stenosis is crucial because of the high risk of thrombo-embolic complications. Although transthoracic and transesophagal echocardiography (TTE and TEE) are routinely used in detection of LAA clot, it can also be detected by coronary angiography. We report a case of rheumatic heart disease and severe mitral stenosis, who underwent coronary angiography as a part of pre-operative evaluation. Presence of LAA clot was identified by presence of neovascularisation of LAA and coronary to LA fistula.
* Corresponding author. http://dx.doi.org/10.1016/j.jicc.2016.11.059 1561-8811/
Left upper panel: RAO cranial view with black arrow indicating neovascularisation of LAA-presence of thrombus. Right upper panel: RAO caudal with blue arrow indicating coronary to LA fistula. Lower panel: RAO caudal (late phase) demonstrating fistula to LA. Conflicts of interest The authors have none to declare.