case_images: PMC5791500_01
case_images: Continuous wave Doppler of the mitral inflow demonstrating distinct E and A waves implying the left atrial contraction in the midesophageal four chamber view
case_images: ACA-21-82-g001.jpg
case_images: PMC5791500_01_ACA-21-82-g001.jpg
case_images: F1
case_images: During intraoperative transesophageal echocardiography (TEE) examination, the LA contractility was demonstrated with distinct mitral inflow E and A waves, and atrial systolic reversal waves of pulmonary venous inflow [Figure 1]. Simultaneous interrogation of the LAA with pulse wave Doppler (PWD) demonstrated characteristic dyssynchronous contraction and relaxation waves suggesting a non-SR [Figure 2 and Video 1].
case_images: Midesophageal four chamber view; pulse wave Doppler of the left pulmonary vein demonstrating atrial systolic reversal waves implying left atrial emptying in the midesophageal four chamber view. LPV: Left pulmonary vein
case_images: ACA-21-82-g002.jpg
case_images: PMC5791500_01_ACA-21-82-g002.jpg
case_images: F2
case_images: Simultaneous interrogation of the LAA with pulse wave Doppler (PWD) demonstrated characteristic dyssynchronous contraction and relaxation waves suggesting a non-SR [Figure 2 and Video 1].