Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis

Several congenital anomalies of the right atrial appendage (RAA) have been described including aneurysm, herniation (in association with a pericardial defect), and left juxtaposition. The left juxtaposition of the RAA (LJRAA), first described by Birmingham in 1893 and subsequently introduced by Dixo...

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Main Authors: Kanya Singhapakdi, Wesam Sourour, Thomas R. Kimball
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2023/1385305
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author Kanya Singhapakdi
Wesam Sourour
Thomas R. Kimball
author_facet Kanya Singhapakdi
Wesam Sourour
Thomas R. Kimball
author_sort Kanya Singhapakdi
collection DOAJ
description Several congenital anomalies of the right atrial appendage (RAA) have been described including aneurysm, herniation (in association with a pericardial defect), and left juxtaposition. The left juxtaposition of the RAA (LJRAA), first described by Birmingham in 1893 and subsequently introduced by Dixon in 1954, is usually associated with complex cardiac malformations such as obstruction of the left ventricular outflow tract. In this case report, we will describe an unusual variant of LJRAA in the absence of any other cardiac defects, which was initially misinterpreted as an aortic dissection. The correct diagnosis was made after careful reinterpretation and the use of multiple imaging modalities as highlighted.
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series Case Reports in Cardiology
spelling doaj-art-0cbaa981cb894802a7a7084bbfc27c1a2025-08-20T03:54:15ZengWileyCase Reports in Cardiology2090-64122023-01-01202310.1155/2023/1385305Left Juxtaposition of the Right Atrial Appendage: Pitfalls in DiagnosisKanya Singhapakdi0Wesam Sourour1Thomas R. Kimball2Department of Pediatric CardiologyDepartment of Pediatric CardiologyDepartment of Pediatric CardiologySeveral congenital anomalies of the right atrial appendage (RAA) have been described including aneurysm, herniation (in association with a pericardial defect), and left juxtaposition. The left juxtaposition of the RAA (LJRAA), first described by Birmingham in 1893 and subsequently introduced by Dixon in 1954, is usually associated with complex cardiac malformations such as obstruction of the left ventricular outflow tract. In this case report, we will describe an unusual variant of LJRAA in the absence of any other cardiac defects, which was initially misinterpreted as an aortic dissection. The correct diagnosis was made after careful reinterpretation and the use of multiple imaging modalities as highlighted.http://dx.doi.org/10.1155/2023/1385305
spellingShingle Kanya Singhapakdi
Wesam Sourour
Thomas R. Kimball
Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
Case Reports in Cardiology
title Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
title_full Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
title_fullStr Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
title_full_unstemmed Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
title_short Left Juxtaposition of the Right Atrial Appendage: Pitfalls in Diagnosis
title_sort left juxtaposition of the right atrial appendage pitfalls in diagnosis
url http://dx.doi.org/10.1155/2023/1385305
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AT wesamsourour leftjuxtapositionoftherightatrialappendagepitfallsindiagnosis
AT thomasrkimball leftjuxtapositionoftherightatrialappendagepitfallsindiagnosis