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

Mustafa Husaini; Nishath Quader; Alan C. Braverman; Ralph J. Damiano; Hersh S. Maniar

doi:10.1177/1556984520934632

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

Mustafa Husaini, Nishath Quader, Alan C. Braverman, Ralph J. Damiano, Hersh S. Maniar

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

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.

Original language	English
Pages (from-to)	389-392
Number of pages	4
Journal	Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
Volume	15
Issue number	4
DOIs	https://doi.org/10.1177/1556984520934632
State	Published - Jul 1 2020

Keywords

anticoagulation
thrombolytics
thrombus

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title = "Massive Left Atrial Thrombus After a Left Atrial Surgical Ablation and Bioprosthetic Mitral Valve Replacement",

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.",

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AU - Husaini, Mustafa

AU - Quader, Nishath

AU - Braverman, Alan C.

AU - Damiano, Ralph J.

AU - Maniar, Hersh S.

N1 - Publisher Copyright: © The Author(s) 2020.

PY - 2020/7/1

Y1 - 2020/7/1

N2 - 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.

AB - 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.

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KW - thrombolytics

KW - thrombus

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

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