Massive Left Atrial Thrombus After a Left Atrial Surgical Ablation and Bioprosthetic Mitral Valve Replacement-Reference-Cited by-同舟云学术

Massive Left Atrial Thrombus After a Left Atrial Surgical Ablation and Bioprosthetic Mitral Valve Replacement

Published:2020-07 Issue:4 Volume:15 Page:389-392
ISSN:1556-9845
Container-title:Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
language:en
Short-container-title:Innovations�(Phila)

Author:

Husaini Mustafa¹^ORCID,Quader Nishath¹,Braverman Alan C.¹,Damiano Ralph J.²,Maniar Hersh S.²

Affiliation:

1. Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, MO, USA

2. Cardiothoracic Surgery Division, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA

Abstract

Variability exists regarding the timing and duration of anticoagulation after surgical ablation for atrial fibrillation and bioprosthetic mitral valve replacement (MVR). We report a case in which a patient developed a massive left atrial (LA) thrombus after MVR and left-sided radiofrequency ablation (LRFA). Despite acutely elevated gradients across the bioprosthetic valve, the patient remained asymptomatic and hemodynamically stable; thus, a multidisciplinary, patient-centered discussion was had and the patient was treated successfully with oral anticoagulation.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Surgery,Pulmonary and Respiratory Medicine

Link

http://journals.sagepub.com/doi/pdf/10.1177/1556984520934632

Reference12 articles.

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2. 2014 AHA/ACC Guideline for the Management of Patients With Valvular Heart Disease

3. The Society of Thoracic Surgeons 2017 Clinical Practice Guidelines for the Surgical Treatment of Atrial Fibrillation

4. 2017 HRS/EHRA/ECAS/APHRS/SOLAECE expert consensus statement on catheter and surgical ablation of atrial fibrillation

5. Variation in Warfarin Use at Hospital Discharge After Isolated Bioprosthetic Mitral Valve Replacement

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