Review
doi: 10.1016/j.euje.2005.10.011.
Epub 2005 Dec 6.
Thrombus formation on an atrial septal defect closure device: a case report and review of the literature
Affiliations
- PMID: 16337834
- DOI: 10.1016/j.euje.2005.10.011
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Review
Thrombus formation on an atrial septal defect closure device: a case report and review of the literature
Eur J Echocardiogr.
2007 Jan.
Abstract
We report on a case of a mobile left atrial thrombus formation on an atrial septal defect occluder system (28 mm StarFLEX-Occluder) despite 6 months of postprocedural anticoagulation with phenprocoumon and platelet antiaggregation with aspirin in a 69-year-old woman. The closure was performed because of a significant left to right atrial shunt (Qp/Qs 1.8) with enlargement of the right atrial and ventricular cavities and impairment of right ventricular function in the presence of persistent atrial fibrillation and chronic heart failure (NYHA II-III). The 6-month follow up by transoesophageal echocardiography (TEE) revealed the floating thrombus located at the left atrial side of the occluder.
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