LAA On Chest X Ray?

More than a year back. It was a tensionful day. I was waiting for my turn for the viva-voce. Every one ahead of me were taking one hour in their turn. I was hopelessly hovering over the pages. Friends were chattering questions after questions… all needing search.

Fig: The anterior 3rd rib designated in blue lines, joining the left border of heart. The point is the joining of the pulmonary artery above and the left atrial appendage below.

My turn came. R G Kar Medical College with their Eminent Surgeons sitting in a straight line. A single hard wooden chair for me to hurt me hard.

First question as I make myself comfortable, “where is the left atrial appendage in this chest X Ray” , a white beard man asked looking towards the X Ray hung in the view box.

Left atrial appendage? In chest X ray? I looked at the glowing box. Thousands of pages of the book flashes before my eyes, nowhere i noticed myself reading the same.  As the silence in the room prevails, i managed to force an answer- ” Sir, out of the double atrial shadow, the extreme left of the left atrium is the left atrial appendage.”

Everybody looked at me, though i know it was not the right answer but i have nearly puzzled them. I sit nearly confident as the X ray was the patient of a Mitral Stenosis with shadow in shadow appearance of the atria.

One of the interviewer asked me show in the X ray. I got up and pointed my finger to the area. Someone wanted ,” be more specific”. “More specific.” Wow no!

They later switched over to read the X Ray in details. I showed my rapping  talent there.

Till this day, I was a lay man, when I read about the location of the left atrial appendage. Those tunes in the examination hall “be specific” rang over my ears with its very purpose.

I read it again, again and again and quoting it for you, ” Anterior border of the left third rib where it meet the left heart border is the junction of the pulmonary artery and left atrial appendage.”

Wow no! How did I pass. That day, when i come out of the examination hall with a smile in my face,  but today i feel it was a blessing of those examiners.

 

Author: what2talk

Myself, Dr. Sibashankar Kar, doing my Cardiothoracic Surgery in Sir Ganga Ram Hospital. The purpose I have made this website is to discuss on the topics of cardiology and cardiac surgery as a whole with their complexities.

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