Heart within a Heart
Journal of Cardiovascular Ultrasound
;
: 60-63, 2016.
Article
Dans Anglais
| WPRIM
| ID: wpr-89906
ABSTRACT
Device based closure of the left atrial appendage (LAA) has emerged as a viable approach for stroke prevention in atrial fibrillation (AF) patients with contraindications to chronic oral anticoagulation. One of the most feared complications is device related thrombus formation. We present a 66-year-old male with chronic AF who developed a life-threatening intracranial bleed on oral anti-coagulation. He subsequently underwent LAA closure using an Amplatzer muscular ventricular septal defect closure device for stroke prevention. However, he was found to have a large thrombus attached to the device a year later. We present a review of the various LAA closure devices, importance of periodic surveillance via echocardiography and management options to prevent this complication. Also, the case highlights the importance of contrast-enhance echocardiography in diagnosis of LAA closure device thrombus.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Fibrillation auriculaire
/
Thrombose
/
Échocardiographie
/
Auricule de l'atrium
/
Accident vasculaire cérébral
/
Diagnostic
/
Coeur
/
Communications interventriculaires
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte très âgé
/
Humains
/
Mâle
langue:
Anglais
Texte intégral:
Journal of Cardiovascular Ultrasound
Année:
2016
Type:
Article
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