title: LA mass shadow after removal of LA myxoma.
abstract: Inverted left atrial tissue is mostly identified when the heart is empty while coming off bypass. During echocardiography a new, echodense mobile mass in the left atrium without attachment is visualized. Such a picture can easily produce not only confusion in the diagnosis but also mitral valve obstruction, hemodynamic instability, and a possibility of appendage necrosis. Inability to identify such inverted tissue can lead to unwanted interventions with additional cardiopulmonary bypass time.
authors.affiliation: Associate Consultant, Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India. Electronic address: drmonishraut@gmail.com.
authors.forename: Monish S
authors.initials: MS
authors.lastname: Raut
authors.affiliation: Senior Consultant, Department of Cardiac Surgery, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India.
authors.forename: Sumir
authors.initials: S
authors.lastname: Dubey
authors.affiliation: Chairman and Head of Department, Department of Cardiac Anesthesia, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India.
authors.forename: Arun
authors.initials: A
authors.lastname: Maheshwari
authors.affiliation: Associate Consultant, Department of Cardiology, Dharam Vira Heart Center, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi 110060, India.
authors.forename: Manish
authors.initials: M
authors.lastname: Sharma
mesh_terms: D000328:Adult; D020517:Atrial Appendage / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis*; D006338:Heart Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging; D009232:Myxoma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D011184:Postoperative Period
keywords: Inverted appendage; Left atrium; Mass; Myxoma