Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure

The patient is an 84-year-old female with a significant past medical history of traumatic subarachnoid hemorrhage, bleeding peptic ulcer disease, permanent atrial fibrillation status post percutaneous left atrial appendage closure (LAAC) initially admitted to the hospital secondary to expressive aph...

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Detalles Bibliográficos
Autores principales: Hussain, Khandakar M, Jain, Ashish, Ahmad, Nuzhat T, Hussain, K.M. Anwar, Aldergash, Salah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097762/
https://www.ncbi.nlm.nih.gov/pubmed/35573559
http://dx.doi.org/10.7759/cureus.24073
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author Hussain, Khandakar M
Jain, Ashish
Ahmad, Nuzhat T
Hussain, K.M. Anwar
Aldergash, Salah
author_facet Hussain, Khandakar M
Jain, Ashish
Ahmad, Nuzhat T
Hussain, K.M. Anwar
Aldergash, Salah
author_sort Hussain, Khandakar M
collection PubMed
description The patient is an 84-year-old female with a significant past medical history of traumatic subarachnoid hemorrhage, bleeding peptic ulcer disease, permanent atrial fibrillation status post percutaneous left atrial appendage closure (LAAC) initially admitted to the hospital secondary to expressive aphasia. The patient was found to have a transient ischemic attack (TIA). A transesophageal echocardiogram (TEE) showed a thrombus on the watchman device (WD). The patient was treated with unfractionated heparin infusion and later transitioned to apixaban without any further TIA or stroke over 30 days period. Device-related thrombosis (DRT) with systemic thromboembolism occurred almost after 480 days of putting the WD which is very rare. 
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spelling pubmed-90977622022-05-14 Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure Hussain, Khandakar M Jain, Ashish Ahmad, Nuzhat T Hussain, K.M. Anwar Aldergash, Salah Cureus Cardiac/Thoracic/Vascular Surgery The patient is an 84-year-old female with a significant past medical history of traumatic subarachnoid hemorrhage, bleeding peptic ulcer disease, permanent atrial fibrillation status post percutaneous left atrial appendage closure (LAAC) initially admitted to the hospital secondary to expressive aphasia. The patient was found to have a transient ischemic attack (TIA). A transesophageal echocardiogram (TEE) showed a thrombus on the watchman device (WD). The patient was treated with unfractionated heparin infusion and later transitioned to apixaban without any further TIA or stroke over 30 days period. Device-related thrombosis (DRT) with systemic thromboembolism occurred almost after 480 days of putting the WD which is very rare.  Cureus 2022-04-12 /pmc/articles/PMC9097762/ /pubmed/35573559 http://dx.doi.org/10.7759/cureus.24073 Text en Copyright © 2022, Hussain et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Hussain, Khandakar M
Jain, Ashish
Ahmad, Nuzhat T
Hussain, K.M. Anwar
Aldergash, Salah
Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title_full Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title_fullStr Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title_full_unstemmed Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title_short Transient Ischemic Attack Secondary to Device-Related Thrombus After Left Atrial Appendage Closure
title_sort transient ischemic attack secondary to device-related thrombus after left atrial appendage closure
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9097762/
https://www.ncbi.nlm.nih.gov/pubmed/35573559
http://dx.doi.org/10.7759/cureus.24073
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