An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement

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
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

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