Rudimentary left atrial appendage in a patient with a history of CVA

Key Clinical Message Rudimentary left atrial appendage (LAA) is an extremely rare condition with an unclear association with cerebrovascular events. This case report discusses a patient with an unexplained cerebrovascular accident (CVA), where the diagnosis of rudimentary LAA was made using transeso...

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Bibliographic Details
Main Authors: Akram Sardari, Akram Nakhaee, Farnoosh Larti, Maryam Roozitalab
Format: Article
Language:English
Published: Wiley 2024-09-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.9359
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Summary:Key Clinical Message Rudimentary left atrial appendage (LAA) is an extremely rare condition with an unclear association with cerebrovascular events. This case report discusses a patient with an unexplained cerebrovascular accident (CVA), where the diagnosis of rudimentary LAA was made using transesophageal echocardiography (TEE) and subsequently confirmed by computed tomography angiography (CTA). Abstract Rudimentary left atrial appendage (LAA) is extremely rare. This report presents the case of a 50‐year‐old woman who experienced a cerebrovascular accident (CVA) and was found to have a rudimentary LAA. The patient had a history of diabetes mellitus (DM), hypertension, and dyslipidemia. An electrocardiogram (ECG) showed sinus rhythm, and Holter monitoring did not detect any atrial fibrillation (AF). Transesophageal echocardiography (TEE) and computed tomography angiography (CTA) were performed to identify the source of cardiac emboli, revealing a rudimentary LAA with no thrombus present.
ISSN:2050-0904