Taha, Mohamed E. and Eljack, Ammar and Ibrahim, Hisham and Roongsritong, Chanwit (2019) An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement. Case Reports in Cardiology, 2019. pp. 1-3. ISSN 2090-6404
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Abstract
The left atrial thrombus is a well-known complication of atrial fibrillation and rheumatic mitral valve disease and carries a high risk for systemic thromboembolism. They are generally dissolved after a certain period of optimal anticoagulation. A large thrombus, on the other hand, may persist even with adequate anticoagulation. The surgical removal of a thrombus theoretically poses some risk of systemic embolization, making its management a clinical dilemma. Furthermore, a refractory thrombus is uncommon. Thus, an evidence-based guideline in selecting the optimal therapy is needed. We report a case of a 74-year-old male with atrial fibrillation and a history of unprovoked pulmonary embolism who was incidentally found to have a massive left atrial thrombus shortly after discontinuing warfarin about 4 months following bioprosthetic aortic valve replacement. The thrombus was refractory to anticoagulation posing a clinical management dilemma. This case is interesting in terms of presentation and the approach to diagnosis and treatment.
Item Type: | Article |
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Subjects: | Oalibrary Press > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 10 Mar 2023 06:53 |
Last Modified: | 01 Jan 2024 12:45 |
URI: | http://asian.go4publish.com/id/eprint/994 |