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Catheter Cardiovasc Interv · Feb 2015
Case ReportsLeft atrial thrombus after complete left atrial appendage exclusion with LARIAT device.
- Ketan P Koranne, Rajeev R Fernando, and Susan T Laing.
- Division of Cadiovascular Medicine, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas.
- Catheter Cardiovasc Interv. 2015 Feb 1; 85 (2): E54-7.
AbstractA 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. © 2014 Wiley Periodicals, Inc.
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