Left atrial thrombus after complete left atrial appendage exclusion with LARIAT device |
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| Authors: | Ketan P. Koranne MD Rajeev R. Fernando MD Susan T. Laing MD FACC |
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| Affiliation: | Division of Cadiovascular Medicine, Department of Internal Medicine, University of Texas Health Science Center at Houston, Houston, Texas |
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| Abstract: | ![]()
A 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. |
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| Keywords: | LARIAT left atrial thrombus left atrial appendage closure |
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