An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement
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...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
|
| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/5254164 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849308523590057984 |
|---|---|
| author | Mohamed E. Taha Ammar Eljack Hisham Ibrahim Chanwit Roongsritong |
| author_facet | Mohamed E. Taha Ammar Eljack Hisham Ibrahim Chanwit Roongsritong |
| author_sort | Mohamed E. Taha |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-1574993a61784e7782e92bc7d6932b21 |
| institution | Kabale University |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-1574993a61784e7782e92bc7d6932b212025-08-20T03:54:25ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/52541645254164An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve ReplacementMohamed E. Taha0Ammar Eljack1Hisham Ibrahim2Chanwit Roongsritong3Department of Internal Medicine, University of Nevada, Reno, NV, USADepartment of Internal Medicine, Beaumont Health, Detroit, MI, USADepartment of Internal Medicine, University of Iowa, IA, USADepartment of Heart and Vascular Health, Renown Regional Medical Center, Reno, NV, USAThe 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.http://dx.doi.org/10.1155/2019/5254164 |
| spellingShingle | Mohamed E. Taha Ammar Eljack Hisham Ibrahim Chanwit Roongsritong An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement Case Reports in Cardiology |
| title | An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement |
| title_full | An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement |
| title_fullStr | An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement |
| title_full_unstemmed | An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement |
| title_short | An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement |
| title_sort | unusual case of left atrial mural thrombus following aortic valve replacement |
| url | http://dx.doi.org/10.1155/2019/5254164 |
| work_keys_str_mv | AT mohamedetaha anunusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT ammareljack anunusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT hishamibrahim anunusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT chanwitroongsritong anunusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT mohamedetaha unusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT ammareljack unusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT hishamibrahim unusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement AT chanwitroongsritong unusualcaseofleftatrialmuralthrombusfollowingaorticvalvereplacement |