“…The diagnosis of LAA can be confirmed using transthoracic echocardiography or transoesophageal echocardiography with colour Doppler, which can reveal blood flow between the left atrium and LAAA ( 35 ). Other imaging modalities, such as CT, MR imaging, CTA, and angiocardiography, are valuable in diagnosing LAAA and ruling out other conditions, such as cardiac or mediastinal tumours, pericardial cysts, acquired left atrial enlargement secondary to mitral valve disease, and left atrial hernia with pericardial defects ( 19 , 36 , 37 ). Once diagnosed, surgery is the recommended treatment option, even in asymptomatic patients, as it can prevent potential thromboembolism and address associated arrhythmias.…”