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European Journal of Echocardiography Advance Access originally published online on May 12, 2009
European Journal of Echocardiography 2009 10(5):702-703; doi:10.1093/ejechocard/jep060
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Isolated left atrial appendage ostial stenosis

Joshua D. Stern*, Adam H. Skolnick, Robin S. Freedberg and Itzhak Kronzon

NYU Langone Medical Center Non-Invasive Cardiology Laboratory, 550 First Avenue, New York, NY 10016, USA

Received 20 February 2009; accepted after revision 21 April 2009; online publish-ahead-of-print 12 May 2009.

* Corresponding author. Fax: +1 646 365 2017. E-mail address: sternj07{at}med.nyu.edu


  Abstract

A patient with atrial tachycardia presented with dyspnoea on exertion. Transoesophageal echocardiography revealed idiopathic left atrial appendage stenosis. The mouth of the atrial appendage was narrowed, and there was a high velocity to and fro jet between the left atrial body and the left atrial appendage. The study, therefore, suggested isolated left atrial appendage orifice stenosis.

Keywords: Left atrial appendage; Stenosis; Thrombus; Transesophageal echocardiography


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