Role of left atrial appendageobliteration in stroke reductionin patients with mitral valve prosthesis
A transesophageal echocardiographic study
Miguel ngel García-Fernández, MD, PhD*,*,
Esther Pérez-David, MD*,
Juan Quiles, MD*,
Juan Peralta, MD*,
Ismael García-Rojas, MD*,
Javier Bermejo, MD*,
Mar Moreno, MD* and
Jacobo Silva, MD*
* Sección de Cardiología No Invasiva, Servicio de Cardiología, Hospital General Universitario Gregorio Marañón, Madrid, Spain

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Figure 1 (A) Transesophageal echocardiogram in a patient with Saint Jude medical prosthesis in mitral position and without ligation of the left atrial appendage (LAA) (arrows). (B) Postoperative transesophageal echocardiographic study showing the absence of the LAA with complete obliteration of the cavity (arrows). LA = left atrium; P = prosthesis.
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Figure 2 Transesophageal echocardiographic study. Transverse view of an incompletely ligated left atrial appendage (LAA). Color-coded flow transverses the communication between the LAA and the left atrium (LA) body (arrow).
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