Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Tatco V, Left atrial diverticulum. Reference article, Radiopaedia.org (Accessed on 19 Apr 2024) https://doi.org/10.53347/rID-39885
A left atrial diverticulum (LAD) refers to a pouch-like structure with a saclike shape with a broad-based ostium and a smooth contour to its body. They are considered an anatomical variant.
Complications
- some suggest that there may be a possible latent relationship between LA diverticulum and systemic embolic events during AF ablation 2.
Differential diagnosis
Possible considerations include:
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1. Abbara S, Mundo-Sagardia JA, Hoffmann U et-al. Cardiac CT assessment of left atrial accessory appendages and diverticula. AJR Am J Roentgenol. 2009;193 (3): 807-12. doi:10.2214/AJR.08.2229 - Pubmed citation
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2. Nagai T, Fujii A, Nishimura K et-al. Large thrombus originating from left atrial diverticulum: a new concern for catheter ablation of atrial fibrillation. Circulation. 2011;124 (9): 1086-8. doi:10.1161/CIRCULATIONAHA.110.000315 - Pubmed citation
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3. Peng LQ, Yu JQ, Yang ZG et-al. Left atrial diverticula in patients referred for radiofrequency ablation of atrial fibrillation: assessment of prevalence and morphologic characteristics by dual-source computed tomography. Circ Arrhythm Electrophysiol. 2012;5 (2): 345-50. doi:10.1161/CIRCEP.111.965665 - Pubmed citation
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4. Demir G, Güneş H, Seker M et al. Is the Presence of Left Atrial Diverticulum Associated with Recurrence in Patients Undergoing Catheter Ablation for Atrial Fibrillation? Arch Med Sci Atheroscler Dis. 2019;4(1):e25-31. doi:10.5114/amsad.2019.83508 - Pubmed
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