Inferior and right-sided juxtaposition of the left atrial appendage with an unexpected type of inter-atrial communication

Cardiology in the Young
Anne E SarwarkDiane E Spicer

Abstract

We have re-investigated an unusual cardiac specimen with juxtaposition of the atrial appendages. The original description dates to 1962, when the autopsy was performed at the Children's Memorial Hospital in Chicago, now Ann & Robert H. Lurie Children's Hospital of Chicago. The heart was subsequently stored in the Farouk S. Idriss Cardiac Registry at the same institution. The specimen shows usual atrial arrangement, but with the morphologically left appendage juxtaposed in a rightward manner, passing behind the heart rather than through the transverse sinus so as to reach its location inferior to the morphologically right appendage. The heart also demonstrated an inter-atrial communication between the cavities of the juxtaposed left appendage and the morphologically right atrium. We provide a detailed description of the morphology, and provide images of this lesion, which to the best of our knowledge has not previously been described.

References

Mar 1, 1977·British Heart Journal·S P AllworkR H Anderson
Oct 1, 1975·British Heart Journal·R H AndersonL M Gerlis
Oct 1, 1974·American Heart Journal·R TandonJ E Edwards
Mar 1, 1968·British Heart Journal·B P Melhuish, R Van Praagh
Jan 1, 1967·British Heart Journal·R Van Praagh, S Van Praagh
Dec 23, 2006·Cardiology in the Young·Alessandra BernasconiRobert H Anderson

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