Khamooshian, ArashJeganthan, JelliffeAmador, YannisLaham, RogerMahmood, FerozeMatyal, Robina2018-03-202018Khamooshian, Arash, Jelliffe Jeganthan, Yannis Amador, Roger J Laham, Feroze Mahmood, and Robina Matyal. 2018. “Mechanical Discordance between Left Atrium and Left Atrial Appendage.” Annals of Cardiac Anaesthesia 21 (1): 82-84. doi:10.4103/aca.ACA_90_17. http://dx.doi.org/10.4103/aca.ACA_90_17.http://nrs.harvard.edu/urn-3:HUL.InstRepos:35014831During standard transesophageal echocardiographic examinations in sinus rhythm (SR) patients, the left atrial appendage (LAA) is not routinely assessed with Doppler. Despite having a SR, it is still possible to have irregular activity in the LAA. This situation is even more important for SR patients where assessment of the left atrium is often foregone. We describe a case where we encountered this situation and briefly review how to assess the left atrium and its appendage in such a case scenario.en-USJournal Article2018-03-2010.4103/aca.ACA_90_17