Nottingham University Medical School, Queen's Medical Centre, Nottingham NG7 2UH, United Kingdom.
Heart Lung Circ. 2012 Feb;21(2):117-9. doi: 10.1016/j.hlc.2011.07.003. Epub 2011 Aug 9.
An inverted left atrial appendage which fails to revert spontaneously is a rare complication of cardiac surgery. We present a case of an inverted left atrial appendage discovered intraoperatively on transoesophageal echocardiography. This was readily identified and was easily corrected with digital manipulation. Intraoperative transoesophageal echocardiography plus an awareness of the possibility that a newly presenting left atrial mass post-bypass might be an inverted left atrial appendage, facilitates immediate correction. So doing removes any need for further investigation or further cardiac surgery and reduces the risk of a subsequent thromboembolic event if the diagnosis is not made until later.
左心耳倒置且未能自发复位是心脏手术的罕见并发症。我们报告 1 例术中经食管超声心动图发现的左心耳倒置。通过数字操作可轻易识别并纠正该问题。术中经食管超声心动图检查以及对新出现的体外循环后左心房肿块可能为左心耳倒置的认识，有助于立即进行纠正。如果直到以后才做出诊断，这样做可避免进一步的检查或再次心脏手术，并降低随后发生血栓栓塞事件的风险。
