Left atrial thrombus after complete left atrial appendage exclusion with LARIAT device | Zendy

Koranne Ketan P. | Zendy; Fernando Rajeev R. | Zendy; Laing Susan T. | Zendy

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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.

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