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Cardiovascular Imaging in the Management of Atrial Fibrillation

Oussama M. Wazni, MD^_*, Hsuan-Ming Tsao, MD^,, Shih-Ann Chen, MD, Hsuan-Hung Chuang, MBBS^_*, Walid Saliba, MD^_*, Andrea Natale, MD^_*,_* and Allan L. Klein, MD^_*

^_* Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, Ohio
Taipei Veterans General Hospital, Taipei, Taiwan
I-Lan Hospital, Taipei, Taiwan
The Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, Taipei, Taiwan.

View larger version (47K): [in this window] [in a new window] [Download PPT slide]   Figure 1 Transesophageal echocardiography images of a laminated left atrial appendage (LAA) thrombus (left) and mobile protruding left atrial appendage thrombus (right). Note the presence of severe spontaneous echo contrast.

View larger version (81K): [in this window] [in a new window] [Download PPT slide]   Figure 2 Left atrial roof pouch in the midsuperior posterior wall of the left atrium.

View larger version (68K): [in this window] [in a new window] [Download PPT slide]   Figure 3 Low left atrial appendage (LAA), posterior view.

View larger version (41K): [in this window] [in a new window] [Download PPT slide]   Figure 4 (A) Supernumerary right pulmonary veins (PVs) (arrows). (B) Broad PV-atrial junction. LIPV = left inferior pulmonary vein; LSPV = left superior pulmonary vein.

View larger version (51K): [in this window] [in a new window] [Download PPT slide]   Figure 5 Computed tomography scan depicting the relationship of the left atrium (LA) to adjacent structures. Note proximity of esophagus to left inferior pulmonary vein in A and to the antrum of the right inferior pulmonary vein (RI) in B. (C) The esophagus (Eso) abuts the coronary sinus (CS). Ao = descending aorta; LI = left inferior pulmonary vein; S = spine.

View larger version (88K): [in this window] [in a new window] [Download PPT slide]   Figure 6 Computed tomography scan depicting the relationship of the left atrium to adjacent structures. Note the course of the pulmonary artery (PA) along the roof of the left atrium (A) and of the left circumflex artery (LCX) close to the left atrial appendage (LAA) (B). LS = left superior pulmonary vein; roof = left atrial roof; RS = right superior pulmonary vein.