{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:38:21Z","timestamp":1787071101620,"version":"build-2736575974"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Inverted left atrial appendage (LAA) is a rare complication in cardiac surgery. The echocardiographic appearance often leads to misdiagnosis of thrombus or some other cardiac mass. Patients misdiagnosed in this way often undergo unnecessary anticoagulation or surgical treatment. Recently, minimally invasive mitral valve surgery (MIMVS) has become more widespread. However, as the incision for MIMVS through the right thoracotomy is very small, the inverted LAA is not within the surgical field of the cardiac surgeon. We present a case of inverted LAA during MIMVS and provide images from transesophageal echocardiography.<\/jats:p>","DOI":"10.4103\/aca.aca_172_17","type":"journal-article","created":{"date-parts":[[2024,5,28]],"date-time":"2024-05-28T06:37:35Z","timestamp":1716878255000},"page":"192-194","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Inverted Left Atrial Appendage during Minimally Invasive Mitral Valve Repair"],"prefix":"10.4103","volume":"21","author":[{"given":"Kazuto","family":"Miyata","sequence":"first","affiliation":[{"name":"Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Shigematsu","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, NewHeart Watanabe Institute, Hamadayama 3-19-11, Suginami-Ku, Tokyo, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-20250921","doi-asserted-by":"crossref","first-page":"E102","DOI":"10.1111\/j.1540-8175.2010.01173.x","article-title":"Posterior left atrial wall hematoma mimicking cystic intracavitary atrial mass","volume":"27","author":"Bahnacy","year":"2010","journal-title":"Echocardiography"},{"key":"R2-20250921","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1053\/j.jvca.2008.09.024","article-title":"A mysterious echogenic structure in the left atrium after coronary artery bypass graft surgery","volume":"23","author":"Arya","year":"2009","journal-title":"J Cardiothorac Vasc Anesth"},{"key":"R3-20250921","doi-asserted-by":"crossref","first-page":"E33","DOI":"10.1111\/echo.12044","article-title":"Inverted left atrial appendage masquerading as a cardiac mass","volume":"30","author":"Leong","year":"2013","journal-title":"Echocardiography"},{"key":"R4-20250921","doi-asserted-by":"crossref","first-page":"1492","DOI":"10.1016\/S0003-4975(99)00244-1","article-title":"Inverted left atrial appendage: An unusual complication in cardiac surgery","volume":"67","author":"Fujiwara","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"R5-20250921","doi-asserted-by":"crossref","first-page":"E134","DOI":"10.1111\/j.1540-8175.2011.01409.x","article-title":"Unusual left atrial mass: Inverted left atrial appendage caused by massive pericardial effusion","volume":"28","author":"Gecmen","year":"2011","journal-title":"Echocardiography"}],"container-title":["Annals of Cardiac Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/00660469-201821020-00018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:41:29Z","timestamp":1787067689000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/00660469-201821020-00018"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.4103\/aca.aca_172_17","relation":{},"ISSN":["0971-9784","0974-5181"],"issn-type":[{"value":"0971-9784","type":"print"},{"value":"0974-5181","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}