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Unexpected Left Atrial Thrombus After Aortic Valve Replacement and Left Atrial Ligation With AtriClip Device: A Case Report.

作者信息

Patel Kinjal M, Rosenbloom Michael, Raza Muhammad, Stevens Sean, Rost Jonathan, Awad Ahmed, Desai Ronak G

机构信息

From the Department of Anesthesiology, Department of Surgery, and Cooper Medical School of Rowan University, Camden, New Jersey; and Department of Anesthesia, Cooper University HealthCare, Cooper Medical School of Rowan University, Camden, New Jersey.

出版信息

A A Pract. 2018 Jan 15;10(2):36-38. doi: 10.1213/XAA.0000000000000631.

DOI:10.1213/XAA.0000000000000631
PMID:28937420
Abstract

We report the unexpected transesophageal echocardiography (TEE) finding of a left atrial (LA) thrombus near the end of cardiopulmonary bypass and after deployment of an AtriClip (Atricure, Inc, Westchester, OH) in an 84-year-old man with atrial fibrillation and aortic stenosis undergoing aortic valve replacement and LA appendage ligation. TEE examination before cardiopulmonary bypass and deployment of the AtriClip had not shown a thrombus in the LA appendage. The heart was rearrested and thrombus was successfully removed through a left atriotomy. This case emphasizes the importance of careful TEE examination for dislodged thrombi after surgical manipulation of the LA appendage.

摘要

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引用本文的文献

1
Case report. Thrombus formation on left atrial appendage clip: surgical exclusion and anticoagulation do not obviate transesophageal echocardiography prior to cardioversion.
Eur Heart J Case Rep. 2022 Apr 14;6(6):ytac160. doi: 10.1093/ehjcr/ytac160. eCollection 2022 Jun.
2
Unexpected Detection of Floating Thrombi in Left Atrium After Left Atrial Appendage Ligation with Atriclip Device: A Case Report.
J Atr Fibrillation. 2020 Dec 31;13(4):2368. doi: 10.4022/jafib.2368. eCollection 2020 Dec.

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