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Percutaneous isolation of left atrial appendage thrombus.


ABSTRACT: Most physicians regard left atrial appendage (LAA) thrombus as a contraindication for LAA occlusion due to risk of distal embolization which is a serious complication. Here we report a case of successfully implanted Amplazter cardiac plug without complication in elderly patients having LAA thrombus with recurrent embolic events despite oral anticoagulants for prevention of thromboembolic events. <Learning objective: LAA thrombus is not completely resolved in all cases and can be a potential source of stroke or embolization even during anti-coagulation. We would like to share a case that suffered from 6 strokes or embolizations despite anti-coagulation, warfarin or non-vitamin K antagonist oral anti-coagulants due to incomplete resolution of LAA thrombus. In this clinical situation, we can suggest LAA occlusion to isolate thrombus from LA and prevent further stroke or embolization.>.

SUBMITTER: Lee OH 

PROVIDER: S-EPMC6149266 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Percutaneous isolation of left atrial appendage thrombus.

Lee Oh-Hyun OH   Uhm Jae-Sun JS   Kim Jung-Sun JS   Cho In-Jeong IJ   Hong Geu-Ru GR   Pak Hui-Nam HN   Jang Yangsoo Y  

Journal of cardiology cases 20170616 3


Most physicians regard left atrial appendage (LAA) thrombus as a contraindication for LAA occlusion due to risk of distal embolization which is a serious complication. Here we report a case of successfully implanted Amplazter cardiac plug without complication in elderly patients having LAA thrombus with recurrent embolic events despite oral anticoagulants for prevention of thromboembolic events. <<b>Learning objective:</b> LAA thrombus is not completely resolved in all cases and can be a potenti  ...[more]

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