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European Journal of Echocardiography 2008 9(2):298-300; doi:10.1016/j.euje.2006.10.002
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2007. For permissions please email: journals.permissions@oxfordjournals.org

‘Coumadin ridge’ in the left atrium demonstrated on three dimensional transthoracic echocardiography

Tanya McKay1 and Liza Thomas1,2,*

1 Westmead Hospital, Sydney, Australia
2 University of Sydney, Sydney, Australia

Received 26 July 2006; accepted after revision 6 October 2006; online publish-ahead-of-print 28 November 2007.

* Corresponding author: Department of Cardiology, Westmead Hospital, Darcy Road, Sydney 2145, NSW, Australia. Tel: +61 2 98456795; fax: + 61 2 98458323. E-mail address: lizat{at}westgate.wh.usyd.edu.au (L. Thomas).


  Abstract

An echogenic band like structure was seen in the left atrium on two dimensional transthoracic echocardiography (2D TTE). Full volume three dimensional (3D) TTE and colour Doppler established the surrounding anatomical landmarks, and demonstrated the absence of obstruction related to this band. 3D TTE confirmed that this band like structure was consistent with the ridge between the left atrial appendage and left superior pulmonary vein (‘warfarin/coumadin ridge’).

Keywords: Warfarin ridge; Coumadin ridge; 3D transthoracic echocardiography


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