In response to “Left atrial thrombus in a case of severe aortic stenosis with severe left ventricular dysfunction: An incidental finding on transesophageal echocardiography”

The authors of this paper describe the presence of thrombus in left atrial appendage (LAA) during transesophageal echocardiography (TEE) examination in a patient undergoing aortic valve replacement (AVR).[1] The patient was diagnosed with severe aortic stenosis (AS), severe aortic regurgitation (AR) and severe left ventricular (LV) dilatation and dysfunction with an ejection fraction (EF) of 18%. The LAA thrombus was not detected during the transthoracic echocardiography (TTE).

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