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Successful anticoagulation therapy for a giant left atrial thrombus following mitral valve repair.
Mathew, Eshani N; Pang, Philip Y K; Mori, Makoto; Chua, Yeow Leng; Sin, Yoong Kong.
Afiliación
  • Mathew EN; Duke-NUS Medical School, Singapore.
  • Pang PYK; Department of Cardiothoracic Surgery, National Heart Centre, Singapore.
  • Mori M; Section of Cardiac Surgery, Yale University School of Medicine, New Haven, CT, USA.
  • Chua YL; Department of Cardiothoracic Surgery, National Heart Centre, Singapore.
  • Sin YK; Department of Cardiothoracic Surgery, National Heart Centre, Singapore.
J Thorac Dis ; 9(7): E640-E643, 2017 Jul.
Article en En | MEDLINE | ID: mdl-28840033
ABSTRACT
A 72-year-old male with atrial fibrillation (AF) underwent mitral valve (MV) repair and concomitant procedures. He was discharged with therapeutic Warfarin dosing but was readmitted 3 weeks later with a right caudate nucleus infarct and subtherapeutic anticoagulation. Echocardiography showed a giant left atrial (LA) thrombus. Low-molecular-weight heparin was promptly initiated. Unfortunately, the patient suffered an intracranial hemorrhage (ICH) 2 days later. He declined surgical thrombectomy and was managed conservatively, remaining stable without neurological deficits. Serial brain imaging showed interval stability, allowing Warfarin to be resumed. Follow-up echocardiography demonstrated partial and complete resolution of the thrombus at 1 and 3 months, respectively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Thorac Dis Año: 2017 Tipo del documento: Article País de afiliación: Singapur

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Thorac Dis Año: 2017 Tipo del documento: Article País de afiliación: Singapur