A Case of Coumadin Ridge Confirmed by Surgery: Comparison Between Cardiac Computed Tomographic Images and Operative Findings
연미란, 유진영, 김성진, 홍종면,
소속 상세정보
연미란 ( Yeon Mi-Ran )
Chungbuk National University Hospital Department of Radiology
유진영 ( Yoo Jin-Young )
Chungbuk National University Hospital Department of Radiology
김성진 ( Kim Sung-Jin )
Chungbuk National University College of Medicine Department of Radiology
홍종면 ( Hong Jong-Myeon )
Chungbuk National University College of Medicine Department of Thoracic and Cardiovascular Surgery
Abstract
The coumadin ridge, a ridge of atrial tissue separating the left atrial appendage from the left upper pulmonary vein, is considered to be a normal anatomic variant. A prominent coumadin ridge can be easily mistaken for a tumor or thrombus. In the present case, a left atrial mass was noted on echocardiography and cardiac computed tomography (CT) in a 66-year-old female patient with a history of stroke who experienced chest pain. Therefore, we considered performing a surgery to remove the mass to prevent a recurrence of cerebral infarction, and the mass was confirmed to be a coumadin ridge rather than an actual tumor or thrombus. The findings from the subsequent CT image reconstruction were consistent with the operative findings. We present a surgically confirmed case of coumadin ridge that was consistent with the reconstructed CT image.
키워드
Tomography, X-Ray Computed; Heart; Heart Atria
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