COMPARISION OF TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR THE DETECTION OF LEFT ATRIAL THROMBUS IN RHEUMATIC MITRAL VALVULAR DISEASE

Authors

  • Deewakar Sharma Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • A Maskey Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • B M KC Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • S Rajbhandary Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • R Rajbhandary Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • Y R Limbu
  • R Malla Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • S R Regmi Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • B Pradhan Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.
  • N K Shrestha Shahid Gangalal National Heart Centre, Bansbari, Kathmandu.

DOI:

https://doi.org/10.31729/jnma.553

Abstract

Transesophageal echocardiography (TEE) was performed in 114 patients with rheumatic mitral valvular
disease and its results were compared with those of transthoracic echocardiography (TTE). Of 114 patients,
LA thrombus was detected in 32 patients by TEE whereas TTE could detect LA thrombus in only 4 of them.
Out of 32 cases, thrombus was located in left atrial appendage (LAA) in 20 (62%). TTE could detect LAA
thrombus in only one patient. The procedure of TEE was well tolerated and there was no complication. We
conclude that TEE is superior to TTE in detection of LA cavity and LA appendage thrombus. Hence, TEE
should be a routine procedure to detect LA thrombus in patients with rheumatic mitral valvular disease
prior to any surgical intervention.
Key Words: Left atrial appendage (LAA), Transthoracic echocardiography (TTE),
Transesophageal echocardiography (TEE)

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Published

2004-07-01

How to Cite

Sharma, D., Maskey, A., KC, B. M., Rajbhandary, S., Rajbhandary, R., Limbu, Y. R., Malla, R., Regmi, S. R., Pradhan, B., & Shrestha, N. K. (2004). COMPARISION OF TRANSTHORACIC AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY FOR THE DETECTION OF LEFT ATRIAL THROMBUS IN RHEUMATIC MITRAL VALVULAR DISEASE. Journal of Nepal Medical Association, 43(154). https://doi.org/10.31729/jnma.553

Issue

Vol. 43 No. 154 (2004)

Section

Original Article

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