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Large Free-Floating Left Atrial Thrombus After Incomplete Thoracoscopic Closure of the Left Atrial Appendage
Motoki Nagatsuka1, Tohru Asai1, Kenichiro Noguchi1
1Department of Cardiovascular Surgery, Shonan Kamakura General Hospital, Kamakura, Kanagawa, Japan.
Left atrial appendage closure (LAAC) for atrial fibrillation can lead to thrombus formation if the procedure is incomplete, especially with coexisting tricuspid regurgitation. Prompt surgical intervention and potential concomitant tricuspid valve repair may be necessary.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- A 79-year-old male patient with permanent atrial fibrillation and cardiomyopathy presented with recurrent cerebral infarctions despite anticoagulation.
- The patient had a history of an implantable cardioverter-defibrillator placement.
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