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How to safely occlude left atrial appendage with a thrombus inside?

ABSTRACT:

SUBMITTER: Akyuz S

PROVIDER: S-EPMC7141426 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature

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How to safely occlude left atrial appendage with a thrombus inside?

Akyüz Şükrü Ş Avcı Ilhan Ilker II Karabay Can Yücel CY Genç Duygu D Palice Ali A

Anatolian journal of cardiology 20200101 1

PMID: 31911559

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Percutaneous isolation of left atrial appendage thrombus.

Project description: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.>.

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