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A #Clue ️‍♂️ ⁉️❔Is it clot or pectinate muscle in RA appendage? In LA appendage, velocity in LAA may be a useful clue, if normal more likely pectinate muscle. 1️⃣The patient on Sinus Rhythm 2️⃣Contracting with heart 3️⃣ No independent motion So, It is Likely pectinate muscle Agitated saline contrast can delineate the structure here beautifully , Looks like trabeculation. Moving in concordance with atrial myocardial. | Cardiophilia | Facebook
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