Why the study?
Knowledge of left atrial anatomy is increasingly important due to the rise in interventional procedures requiring left atrial access, such as catheter ablations and valvular repair, where anatomical variations can hinder safe and effective intervention.
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Design
Literature review
LA variations warrant preprocedural imaging review in interventions; leaves open outcome impact in prospective trials.
The anatomy of the left atrium is of great clinical importance due to the increase of interventional procedures that require access to the left atrium such as catheter ablations and valvular repair. The purpose of this literature review is to discuss the anatomical features and clinical relevance of the left atrium, including its location, internal attributes and its relationship with both cardiac and noncardiac structures. This literature review seeks to collate and discuss peer-reviewed articles on the anatomy of the left atrium. It was outlined after conducting a review of the literature and standard search engines. The left atrium consists of an appendage, a venous component, and a vestibule. Several anatomical variations have been reported in each of those components, which poses difficulty in performing safe and effective interventional cardiac procedures. Knowledge of the underlying anatomy of the left atrium can promote improved diagnostic protocols and clinical interventions in the future.
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Whiteman et al. (2019) studied this question.
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