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Left atrial thrombus after complete left atrial appendage exclusion with LARIAT device
Author(s) -
Koranne Ketan P.,
Fernando Rajeev R.,
Laing Susan T.
Publication year - 2014
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.25549
Subject(s) - medicine , atrial fibrillation , thrombus , cardiology , appendage , atrial appendage , transesophageal echocardiogram , thrombosis , ligation , warfarin , surgery , anatomy , sinus rhythm
A 74‐year‐old woman with paroxysmal atrial fibrillation underwent left atrial appendage (LAA) exclusion with a LARIAT snare device. Transesophageal echocardiogram one month later demonstrated a left atrial thrombus at orifice of the completely occluded LAA that subsequently resolved with two months of anticoagulation. This case highlights that LAA ligation with LARIAT device continues to pose a risk for left atrial thrombosis in the immediate post‐operative period. It also emphasizes the need for further evidence regarding antiplatelet and anticoagulation therapy in these patients. © 2014 Wiley Periodicals, Inc.