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World J Clin Cases. 2015 Sep 16;3(9):831-4. doi: 10.12998/wjcc.v3.i9.831.

Coumadin ridge: An incidental finding of a left atrial pseudotumor on transthoracic echocardiography.

World journal of clinical cases

Aadil Mubeen Lodhi, Tin Nguyen, Christopher Bianco, Assad Movahed

Affiliations

  1. Aadil Mubeen Lodhi, Tin Nguyen, Christopher Bianco, Assad Movahed, Department of Cardiovascular Sciences, East Carolina University, Brody School of Medicine, East Carolina Heart Institute, Greenville, NC 27834, United States.

PMID: 26380830 PMCID: PMC4568532 DOI: 10.12998/wjcc.v3.i9.831

Abstract

Coumadin ridge is a normal anatomic variant that is occasionally found in the left atrium. It can present as a linear or nodular mass which can undulate with cardiac motion and if particularly prominent, can easily be mistaken for a tumor or thrombus. Careful evaluation and consideration of the common variants discussed in this review can help limit misdiagnosis, as well as unnecessary workup and treatment. We present a case of coumadin ridge that was found on a patient using two-dimensional transthoracic echocardiography.

Keywords: Coumadin ridge; Left atrial pseudotumor; Pseudotumor; Warfarin ridge

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