A curious case of an absent left atrial appendage.

Publication/Presentation Date

11-1-2018

Abstract

The left atrial appendage (LAA) in the setting of non-valvular atrial fibrillation (NVAF) is the predominant location for intracardiac thrombus formation. An absent LAA is a very rare congenital cardiac anomaly. We present a case of a 79-year-old female with NVAF, high CHADS2VASC2 score, and high bleeding risk who presented for elective Watchman™ left atrial appendage closure device implant. A pre-procedural transesophageal echocardiography showed an absent LAA. This finding was confirmed with cardiac computed tomography and a left atrial angiogram. The patient was discharged on medical therapy with close outpatient follow-up.

Volume

35

Issue

11

First Page

1882

Last Page

1884

ISSN

1540-8175

Disciplines

Medicine and Health Sciences

PubMedID

30338562

Department(s)

Department of Medicine

Document Type

Article

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