Computed tomography in the evaluation of the complexmorphology of the left atrial appendage in a patientwith atrial fibrillation: a clinical case

Authors: E.Yu. Glazkova, S.A. Aleksandrova, O.I. Gromova, E.Z. Golukhova

Company: A.N. Bakoulev Scientific Center for Cardiovascular Surgery; Rublevskoe shosse, 135, Moscow, 121552, Russian Federation


Keywords: atrial fibrillation left atrial appendage membrane left atrial appendage computed tomography

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Abstract

The article devoted to clinical case of successful use of computed tomography (CT) with contrast in patient with atrial fibrillation for detailed visualization of small anatomic structures in the left atrial appendage, not available for ultrasound investigation.

References

1. ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation. Europace. 2006; 8: 651–745.

2. Atrial Fibrillation, Aspirin, Anticoagulant Study Investigators and Boston Area Anticoagulation Trial for Atrial Fibrillation Study Investigators. Risk factors for stroke and efficacy of antithrombotic therapy in atrial fibrillation. Arch. Intern. Med. 1994; 154: 1449–50.

3. Veinot J.P., Harrity P.J., Gentile F. et al. Anatomy of the normal left atrial appendage: a quantitative study of age-related changes in 500 autopsy hearts; implications for echocardiographic examination. Circulation. 1997; 96: 3112–5.

4. Бокерия Л.А., Газал Б. Возможности мультиспи- ральной компьютерной томографии в диагнос- тике заболеваний сердца. Креативная кардиоло- гия. 2012. 1: 64–72.

5. Бокерия Л.А., Макаренко В.Н., Юрпольская Л.А. и соавт. Магнитно-резонансная томография в диагностике патологических изменений неко- ронарогенного характера у детей и подростков с желудочковой экстрасистолией. Анналы арит- мологии. 2013; 10 (3): 124–31. DOI: 10.15275/annaritmol.2013.3.1.

6. Lacomis J.M., Goitein O., Deible C., Moran P.L., Mamone G., Madan S., Schwartzman D. Dynamic multidimensional imaging of the human left atrial appendage. Europace. 2007; 9 (12): 1134–40.

7. Kim S., Sim W., Park S., Kim M., Lee K., Chowe W. Two cases of incidentally diagnosed idiopathic left atrial appendage ostial stenosis. J. Cardiovasc. Ultrasound. 2010; 18 (3): 112–4.

8. Postaci N., Yessil M., Issci A., Arιkan M.E., Bayata S. Nonobstructive membrane of the left atrial appendage. Anadolu Kardiyol. Derg. 2009; 9: 423–9.

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery