Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention

An 88-year-old male with nonvalvular atrial fibrillation (NVAF) and severe congestive heart failure (HF), was admitted to the Neurological Intensive Care Unit because of the acute onset of aphasia and left hemiplegia. Transthoracic echocardiography revealed a left atrial (LA) cavity thrombus. Its “f...

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Autores principales: Sonaglioni, Andrea, Vincenti, Antonio, Lombardo, Michele, Anzà, Claudio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307615/
https://www.ncbi.nlm.nih.gov/pubmed/32766107
http://dx.doi.org/10.4103/jcecho.jcecho_46_19
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author Sonaglioni, Andrea
Vincenti, Antonio
Lombardo, Michele
Anzà, Claudio
author_facet Sonaglioni, Andrea
Vincenti, Antonio
Lombardo, Michele
Anzà, Claudio
author_sort Sonaglioni, Andrea
collection PubMed
description An 88-year-old male with nonvalvular atrial fibrillation (NVAF) and severe congestive heart failure (HF), was admitted to the Neurological Intensive Care Unit because of the acute onset of aphasia and left hemiplegia. Transthoracic echocardiography revealed a left atrial (LA) cavity thrombus. Its “fatal” distal embolization to abdominal aorta occurred in a few days. These observations should lead to a cautious approach in proposing a percutaneous closure of LA appendage in older NVAF patients, with HF and/or left ventricular dysfunction and larger LA volumes, who are not adequately anticoagulated.
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spelling pubmed-73076152020-08-05 Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention Sonaglioni, Andrea Vincenti, Antonio Lombardo, Michele Anzà, Claudio J Cardiovasc Echogr Case Report An 88-year-old male with nonvalvular atrial fibrillation (NVAF) and severe congestive heart failure (HF), was admitted to the Neurological Intensive Care Unit because of the acute onset of aphasia and left hemiplegia. Transthoracic echocardiography revealed a left atrial (LA) cavity thrombus. Its “fatal” distal embolization to abdominal aorta occurred in a few days. These observations should lead to a cautious approach in proposing a percutaneous closure of LA appendage in older NVAF patients, with HF and/or left ventricular dysfunction and larger LA volumes, who are not adequately anticoagulated. Wolters Kluwer - Medknow 2020 2020-04-13 /pmc/articles/PMC7307615/ /pubmed/32766107 http://dx.doi.org/10.4103/jcecho.jcecho_46_19 Text en Copyright: © 2020 Journal of Cardiovascular Echography http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sonaglioni, Andrea
Vincenti, Antonio
Lombardo, Michele
Anzà, Claudio
Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title_full Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title_fullStr Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title_full_unstemmed Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title_short Left Atrial Cavity Thrombus and Fatal Systemic Embolization in a Stroke Patient with Nonvalvular Atrial Fibrillation: A Caveat against Left Atrial Appendage Closure for Stroke Prevention
title_sort left atrial cavity thrombus and fatal systemic embolization in a stroke patient with nonvalvular atrial fibrillation: a caveat against left atrial appendage closure for stroke prevention
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7307615/
https://www.ncbi.nlm.nih.gov/pubmed/32766107
http://dx.doi.org/10.4103/jcecho.jcecho_46_19
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