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Updated: Feb 10, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
Left atrial thrombus two years after placement of a left atrial appendage closure device: Unexplored area of the
David H Yoo1, Brian Clark2, Daniel Nguyen2
1Division of Internal Medicine, Department of Medicine, University of Maryland School of Medicine, Baltimore, MD, USA.
Abstract:
A 72-year-old man who underwent a left atrial appendage (LAA) closure device 2 years ago presented with atrial flutter with rapid ventricular rate and was referred for cardioversion. Precardioversion transesophageal echocardiogram showed left atrial thrombus and therefore the procedure was aborted. Currently, there is no guideline on imaging surveillance or anticoagulation in patients with LAA closure device who develop intracardiac thrombus after the initial 6-month surveillance period.
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