European Journal of Cardio-Thoracic Surgery Advance Access published May 24, 2015

Cite this article as: van der Weijde E, van Putte B. Congenital left atrial appendage herniation. Eur J Cardiothorac Surg 2015; doi:10.1093/ejcts/ezv196.

Congenital left atrial appendage herniation Emma van der Weijde* and Bart van Putte Department of Cardiothoracic Surgery, St Antonius Hospital, Nieuwegein, The Netherlands *Corresponding author. Department of Cardiothoracic Surgery, St Antonius Hospital, Postbus 2500, 3430 EM Nieuwegein, The Netherlands. Tel: +31-88-3201057; e-mail: [email protected] (E. van der Weijde). Received 17 March 2015; received in revised form 29 April 2015; accepted 30 April 2015

Keywords: Atrial appendage herniation • Mini-maze

During a mini-maze operation for paroxysmal atrial fibrillation, we noticed an extra-pericardial left atrial appendage, due to

a congenital herniation. The appendage was clipped under ultrasound guidance, while the herniation was left untouched (Fig. 1).

Figure 1: Mid-axillary view: the collapsed lung is seen below, the pericardium on the left and the herniated appendage (arrows).

© The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

IMAGES IN CARDIOTHORACIC SURGERY

IMAGES IN CARDIO-THORACIC SURGERY

European Journal of Cardio-Thoracic Surgery (2015) 1–1 doi:10.1093/ejcts/ezv196

Congenital left atrial appendage herniation.

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