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Images in cardiology
Inverted left atrial appendage
  1. A Bouzas-Mosquera,
  2. N Alvarez-García,
  3. J J Cuenca-Castillo
  1. A Bouzas-Mosquera, Juan Canalejo Hospital. A Coruña, Spain; aboumos{at}canalejo.org

http://dx.doi.org/10.1136/hrt.2007.130443

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    A 59-year-old woman with non-ischaemic dilated cardiomyopathy and severe mitral regurgitation was referred for mitral valve repair. Intraoperative transoesophageal echocardiography (TOE) performed before cardiopulmonary bypass (CPB) showed normal mitral leaflets with increased mitral valve tenting area and posterior mitral leaflet tethering; no masses were seen within the left atrium. After ring annuloplasty and during weaning from CPB, …

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    Footnotes

    • Competing interests: None.

    • Patient consent: Informed patient consent was obtained for publication of the case details described in this report.

    • ▸ Additional videos are published online only at http://heart.bmj.com/content/vol94/issue8