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Left atrial mass in children following cardiac surgery: unravelling the diagnosis

Published online by Cambridge University Press:  03 November 2020

Saileela Rajan Open the ORCID record for Saileela Rajan [Opens in a new window] ,
Harish Chamundaiah  and
Robert Coelho
Saileela Rajan*
Affiliation:
Department of Paediatric Cardiology, MIOT Centre for Children’s Cardiac Care, MIOT Hospitals, Chennai, India
Harish Chamundaiah
Affiliation:
Department of Paediatric Cardiology, MIOT Centre for Children’s Cardiac Care, MIOT Hospitals, Chennai, India
Robert Coelho
Affiliation:
Department of Paediatric Cardiothoracic Surgery, MIOT Centre for Children’s Cardiac Care, MIOT Hospitals, Chennai, India
*
Author for correspondence: S. Rajan, MD, DNB, FNB, Consultant Paediatric Cardiologist, MIOT Centre for Children’s Cardiac Care, MIOT Hospitals, 4/112, Mount Poonamallee High Road, Manapakkam, Chennai 600089, India. Tel: +91-9444881620; Fax: +91 4422491188. E-mail: drsaileelarajan@gmail.com
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Abstract

The differential diagnosis of a left atrial mass on echocardiogram includes thrombus, vegetation, tumour, and other rare causes like septal aneurysm, pulmonary vein remnant, and septal haematoma. We present interesting echocardiographic images of a rare condition which can masquerade as a left atrial mass following cardiac surgery.

Keywords

Left atrial massatrial appendage inversionchildren
Type
Brief Report
Information
Cardiology in the Young , Volume 31 , Issue 2 , February 2021 , pp. 306 - 307
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Allen, BS, Ilbawi, M, Hartz, R, et al. Inverted left atrial appendage: an unrecognized cause of left atrial mass. J Thorac Cardiovasc Surg 1997; 114: 278–280.CrossRefGoogle ScholarPubMed
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: 1489–1491.CrossRefGoogle ScholarPubMed
Fujiwara, K, Naito, Y, Noguchi, Y, et al. Inverted left atrial appendage: an unusual complication in cardiac surgery. Ann Thorac Surg 1999; 67: 1492–1494.CrossRefGoogle ScholarPubMed
Gecmen, C, Candan, O, Guler, A, et al. Unusual left atrial mass: inverted left atrial appendage caused by massive pericardial effusion. Echocardiography 2011; 28: E134–E136.CrossRefGoogle ScholarPubMed
Powell, AW, Taylor, MD, Cottrill, CM, et al. Inversion of the left atrial appendage in an asymptomatic newborn without prior cardiac surgery. Eur Heart J Cardiovasc Imaging 2016; 17: 1438.CrossRefGoogle Scholar
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