Author + information
- Received March 2, 2009
- Accepted March 5, 2009
- Published online August 4, 2009.
A patient with an ascending aortic aneurysm and cardiomyopathy underwent aortic root and hemi-arch replacement with sparing of the aortic valve. While coming off cardiopulmonary bypass, a new left atrial mass was noted on transesophageal echocardiography (A and B, Online Videos 1and 2). Because of suspected thrombus, the left atrium was opened and visually inspected. No thrombus was found, but the left atrial appendage was seen to be inverted. After surgical eversion, repeat transesophageal images showed that the mass was no longer present (C and D, Online Videos 3and 4). Recognition of such a pseudo-mass may avoid unnecessary prolongation of cardiac surgical procedures.
- Received March 2, 2009.
- Accepted March 5, 2009.
- American College of Cardiology Foundation