Abstract
Left atrial appendage (LAA) thrombus has a known association with embolic events, but diagnosis with echocardiography has proved to be an ongoing challenge. The correct diagnosis is important for decisions on surgical or percutaneous closure and anticoagulation. Although 3-dimensional transesophageal echocardiography has been shown to be more geometrically accurate for LAA assessment than 2-dimensional transesophageal echocardiography,1-3 should the diagnosis be suspected intraoperatively and no 3-dimensional machine is available, multiple 2-dimensional orthogonal views of LAA lesions should improve the diagnostic yield.
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