Percutaneous isolation of left atrial appendage thrombus

Oh Hyun Lee, Jae Sun Uhm, Jung Sun Kim, In Jeong Cho, Geu Ru Hong, Hui Nam Pak, Yangsoo Jang

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


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 languageEnglish
Pages (from-to)67-69
Number of pages3
JournalJournal of Cardiology Cases
Issue number3
StatePublished - Sep 2017

Bibliographical note

Publisher Copyright:
© 2017 Japanese College of Cardiology


  • Left atrial appendage occlusion
  • Nonvalvular atrial fibrillation
  • Thrombus


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