A Case of Coumadin Ridge Confirmed by Surgery: Comparison Between Cardiac Computed Tomographic Images and Operative Findings
10.3348/jksr.2019.80.6.1276
- Author:
Mi Ran YEON
1
;
Jin Young YOO
;
Sung Jin KIM
;
Jong Myeon HONG
Author Information
1. Department of Radiology, Chungbuk National University Hospital, Cheongju, Korea. immdjy@gmail.com
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2019;80(6):1276-1280
- CountryRepublic of Korea
- Language:English
-
Abstract:
The coumadin ridge, a ridge of atrial tissue separating the left atrial appendage from the left upper pulmonary vein, is considered to be a normal anatomic variant. A prominent coumadin ridge can be easily mistaken for a tumor or thrombus. In the present case, a left atrial mass was noted on echocardiography and cardiac computed tomography (CT) in a 66-year-old female patient with a history of stroke who experienced chest pain. Therefore, we considered performing a surgery to remove the mass to prevent a recurrence of cerebral infarction, and the mass was confirmed to be a coumadin ridge rather than an actual tumor or thrombus. The findings from the subsequent CT image reconstruction were consistent with the operative findings. We present a surgically confirmed case of coumadin ridge that was consistent with the reconstructed CT image.
