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Unexpected large device related thrombus at 12 months follow-up after left atrial appendage closure.

Lukas UrbanekShaojie ChenStefano BordignonShota TohokuFabrizio BolognaBritta Schulte-HahnKyoung-Ryul Julian ChunBoris Schmidt
Published in: Pacing and clinical electrophysiology : PACE (2022)
An 89-year-old woman underwent left atrial appendage (LAA) closure (LAAC) in our hospital because of recurrent gastrointestinal bleedings. The first transesophageal echocardiography (TEE) follow-up at six weeks revealed a complete sealing of the LAA and no device related thrombus. In a TEE follow-up at one year after the LAA closure, a large device related thrombus (6 × 3 cm) was found. Treated with oral anticoagulation (apixaban) the thrombus showed a partial resolution one year later.
Keyphrases
  • left atrial appendage
  • atrial fibrillation
  • catheter ablation
  • venous thromboembolism
  • healthcare
  • computed tomography
  • emergency department
  • heart failure
  • single molecule
  • newly diagnosed