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Left atrial thrombus two years after placement of a left atrial appendage closure device: Unexplored area of the Watchman
Author(s) -
Yoo David H,
Clark Brian,
Nguyen Daniel,
Dickfeld TimmMichael,
Zohlman Andrew S,
Wang Libin,
See Vincent Y
Publication year - 2018
Publication title -
pacing and clinical electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.686
H-Index - 101
eISSN - 1540-8159
pISSN - 0147-8389
DOI - 10.1111/pace.13373
Subject(s) - medicine , thrombus , cardiology , cardioversion , atrial flutter , atrial fibrillation , transesophageal echocardiogram , intracardiac injection , appendage , closure (psychology) , atrial appendage , sinus rhythm , anatomy , market economy , economics
A 72‐year‐old man who underwent a left atrial appendage (LAA) closure device 2 years ago presented with atrial flutter with rapid ventricular rate and was referred for cardioversion. Precardioversion transesophageal echocardiogram showed left atrial thrombus and therefore the procedure was aborted. Currently, there is no guideline on imaging surveillance or anticoagulation in patients with LAA closure device who develop intracardiac thrombus after the initial 6‐month surveillance period.