Basterra Sola N, Olaz Preciado F, Ruiz Mateas F, Carmona Salinas J R, Gervás Pavón H, Martín González J, Beramendi Calero J R, Elorz Romano C, Berjón Reyero J, de los Arcos Lage E
Servicio de Cardiología, Hospital de Navarra, Pamplona.
Rev Esp Cardiol. 1994 Nov;47(11):771-2.
We report a case of a 73-years-old patient with atrial fibrillation who underwent direct current cardioversion. The transesophageal echocardiography performed before cardioversion excluded the presence of atrial thrombus. After cardioversion a new transesophageal echocardiography detected a thrombus in the left atrial appendage despite oral anticoagulation. Mechanism of thrombus formation and the need for oral anticoagulation before the procedure is being discussed.
