Sardari Akram, Nakhaee Akram, Larti Farnoosh, Roozitalab Maryam
Cardiology Department, Imam Khomeini Hospital Complex, School of Medicine Tehran University of Medical Sciences Tehran Iran.
Clin Case Rep. 2024 Sep 5;12(9):e9359. doi: 10.1002/ccr3.9359. eCollection 2024 Sep.
Rudimentary left atrial appendage (LAA) is an extremely rare condition with an unclear association with cerebrovascular events. This case report discusses a patient with an unexplained cerebrovascular accident (CVA), where the diagnosis of rudimentary LAA was made using transesophageal echocardiography (TEE) and subsequently confirmed by computed tomography angiography (CTA).
Rudimentary left atrial appendage (LAA) is extremely rare. This report presents the case of a 50-year-old woman who experienced a cerebrovascular accident (CVA) and was found to have a rudimentary LAA. The patient had a history of diabetes mellitus (DM), hypertension, and dyslipidemia. An electrocardiogram (ECG) showed sinus rhythm, and Holter monitoring did not detect any atrial fibrillation (AF). Transesophageal echocardiography (TEE) and computed tomography angiography (CTA) were performed to identify the source of cardiac emboli, revealing a rudimentary LAA with no thrombus present.
残存左心耳（LAA）是一种极为罕见的病症，与脑血管事件的关联尚不清楚。本病例报告讨论了一名患有不明原因脑血管意外（CVA）的患者，该患者通过经食管超声心动图（TEE）诊断为残存LAA，随后经计算机断层血管造影（CTA）证实。
残存左心耳（LAA）极为罕见。本报告介绍了一名50岁女性患者，该患者发生了脑血管意外（CVA），并被发现有残存LAA。该患者有糖尿病（DM）、高血压和血脂异常病史。心电图（ECG）显示窦性心律，动态心电图监测未检测到任何房颤（AF）。进行经食管超声心动图（TEE）和计算机断层血管造影（CTA）以确定心脏栓子的来源，结果显示为无血栓的残存LAA。
