"Water Gun:" A New Morphology of Left Atrial Appendage.
J Invasive Cardiol
; 35(2): E110-E111, 2023 02.
Article
en En
| MEDLINE
| ID: mdl-36735875
ABSTRACT
An 86-year-old patient with non-valvular atrial fibrillation was referred to our institution to undergo a left atrial appendage (LAA) closure for recurrent gastrointestinal bleeding on direct oral anticoagulants. The transesophageal echocardiogram (TEE) performed the previous day evaluated the morphology and dimensions of the LAA and ruled out any thrombus. During the procedure, a pigtail catheter was inserted into the LAA, observing an unusual image we describe as a culde- sac, without an anomalous connection with any drainage in other vessel or cavity. After additional imaging studies, we concluded that it was morphology related to LAA, which we have termed the "water-gun" morphology. Four morphologies have been described based on the shape of the central and secondary lobes. To the best of our knowledge, this is the first description of a fifth type, which was shown to be effectively closed with current closure devices.
Palabras clave
Buscar en Google
Base de datos:
MEDLINE
Asunto principal:
Fibrilación Atrial
/
Trombosis
/
Apéndice Atrial
/
Procedimientos Quirúrgicos Cardíacos
Tipo de estudio:
Diagnostic_studies
Límite:
Aged80
/
Humans
Idioma:
En
Revista:
J Invasive Cardiol
Asunto de la revista:
CARDIOLOGIA
Año:
2023
Tipo del documento:
Article
País de afiliación:
España