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Ann Thorac Surg 1997;63:1774-1775
© 1997 The Society of Thoracic Surgeons

Case Report

Recanalization of the Left Atrial Appendage Demonstrated by Transesophageal Echocardiography

Mary Lynch, MD, Jack S. Shanewise, MD, George L. Chang, MD, Randolph P. Martin, MD, Stephen D. Clements, MD

Division of Cardiology, Department of Medicine, and Department of Anesthesiology, Emory University Hospital, Atlanta, Georgia

Accepted for publication January 21, 1997.

Closure of the fibrillating left atrial appendage has been recommended during mitral valve operations to help prevent thrombus formation and systemic embolization postoperatively. We report recanalization of the appendage orifice in 6 patients after surgical closure by pursestring suturing at the time of mitral valve replacement. Transesophageal echocardiography demonstrated disruption of the closure line and partial recanalization of the sutured orifice with relatively high velocity flow between the left atrial body and the appendage.




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