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Inverted left atrial appendage presenting as a large left atrial mass
Authors:Maria Carmo Pereira Nunes  Claudio Leo Gelape  Renato Bráulio  Fernanda de Azevedo Figueiredo  Renata de Carvalho Bicalho Carneiro  Felipe Batista Lima Barbosa  Marcia de Melo Barbosa
Affiliation:1.Department of Internal Medicine, School of Medicine,Federal University of Minas Gerais,Belo Horizonte,Brazil;2.Division of Cardiology and Cardiovascular Surgery,University Hospital, Federal University of Minas Gerais,Belo Horizonte,Brazil
Abstract:Inverted left atrial appendage (ILAA) is a rare phenomenon. We describe a patient with mitral stenosis who presented with a homogenous mass in the left atrium, mimicking a large thrombus. The patient was sent to surgery and no thrombus was found; intraoperative examination by the surgeon revealed an ILAA. We briefly discuss the main features of this entity and also some aspects of the differential diagnosis.
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