Thrombus formation after left atrial appendage exclusion using an amplatzer cardiac plug device

作者: Ignacio Cruz-Gonzalez , Javier Martín Moreiras , Eulogio García

DOI: 10.1002/CCD.23126

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摘要: The feasibility and safety of left atrial appendage closure with the Amplatzer cardiac plug (AGA Medical Corp., Minneapolis, MN) have been recently published; no thrombus formation on device surface has reported previously. We describe a case 66-year-old man permanent fibrillation, previous stroke, contraindication for long-term oral anticoagulant therapy. A 22-mm ACP was deployed successfully without complications. patient discharged acetyl salicylic acid 100 mg clopidogrel 75 daily. After 4 weeks, admitted lower gastrointestinal bleeding stopped. 3-month follow-up echocardiogram confirmed exclusion LAA but it demonstrated presence device. It decided to keep addition enoxaparin 60 bid. Transesophageal total resolution after 2 months. © 2011 Wiley Periodicals, Inc.

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