• BMC anesthesiology · Oct 2023

    Case Reports

    Left atrial appendage thrombus in an elderly patient with atrial fibrillation during non-cardiac surgery- a case report.

    • Yaru Li, Luyang Jiang, Lu Wang, Xinrui Yin, Qiaoyu Han, and Yi Feng.
    • Department of Anesthesiology, Peking University People's Hospital, 11 Xi Zhi Men South Street, Beijing, 100044, China.
    • BMC Anesthesiol. 2023 Oct 6; 23 (1): 335335.

    BackgroundPerioperative newly developed left atrial appendage (LAA) thrombus is a rare but extremely challenging event for anesthesia management. It's important to identify and diagnose thrombosis in high-risk populations promptly.Case PresentationIn the case of an elderly patient with atrial fibrillation undergoing non-cardiac surgery, we recorded the findings before and after thrombosis during the operation using transesophageal echocardiography (TEE). Through timely detection of the thrombus and proactive management, a satisfactory therapeutic effect was ultimately achieved.ConclusionsClinicians should be aware of the potential risk of LAA clot formation during surgery, even if it was not detected preoperatively. And TEE is valuable for monitoring newly developed perioperative thrombosis.© 2023. BioMed Central Ltd., part of Springer Nature.

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