Abstract
Most physicians regard left atrial appendage (LAA) thrombus as a contraindication for LAA occlusion due to risk of distal embolization which is a serious complication. Here we report a case of successfully implanted Amplazter cardiac plug without complication in elderly patients having LAA thrombus with recurrent embolic events despite oral anticoagulants for prevention of thromboembolic events. <Learning objective: LAA thrombus is not completely resolved in all cases and can be a potential source of stroke or embolization even during anti-coagulation. We would like to share a case that suffered from 6 strokes or embolizations despite anti-coagulation, warfarin or non-vitamin K antagonist oral anti-coagulants due to incomplete resolution of LAA thrombus. In this clinical situation, we can suggest LAA occlusion to isolate thrombus from LA and prevent further stroke or embolization.>
Original language | English |
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Pages (from-to) | 67-69 |
Number of pages | 3 |
Journal | Journal of Cardiology Cases |
Volume | 16 |
Issue number | 3 |
DOIs | |
State | Published - Sep 2017 |
Bibliographical note
Publisher Copyright:© 2017 Japanese College of Cardiology
Keywords
- Left atrial appendage occlusion
- Nonvalvular atrial fibrillation
- Thrombus