Inverted left atrial appendage following cardiac surgery

Abstract

A 58-year-old male underwent valve sparing ascending aorta replacement (Yacoub). During surgery, direct postoperative transoesophageal echocardiograpphy revealed a left atrial mass; the left atrial appendage could not be visualised (figure 1, Post), in contrast to the echocardiogram performed before onset of surgery (figure 1, Pre).