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Case Reports
. 2024 Jun 28;8(9):456-460.
doi: 10.1016/j.case.2024.05.007. eCollection 2024 Sep.

Timely Transesophageal Echocardiography After Left Atrial Appendage Occlusion May Avoid Delayed Detection of Device-Related Thrombus

Mohamed Abugrin  1 , Ankur Panchal  1 , Batoul Aboulqassim  1 , Muhammad Bilal  1 , Jaswinder Virk  1
Affiliations
Case Reports

Timely Transesophageal Echocardiography After Left Atrial Appendage Occlusion May Avoid Delayed Detection of Device-Related Thrombus

Mohamed Abugrin et al. CASE (Phila). .
No abstract available

Keywords: Atrial fibrillation; Device-related thrombosis; Dual antiplatelet therapy; Left atrial appendage occlusion; Transesophageal echocardiogram.

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Figures

None
Graphical abstract
Figure 1
Figure 1
(A) Two-dimensional TEE performed immediately postprocedure, midesophageal (85°) view with color flow Doppler during diastole, demonstrates LAAO device in the LAA (asterisk) with no peridevice leak and no DRT. Two-dimensional TEE, midesophageal orthogonal biplane (85° and 175°) views during late diastole (B) and systole (C), demonstrates the LAAO device in the LAA (asterisk) with no DRT (arrows).
Figure 2
Figure 2
Contrast-enhanced CT of the abdomen and pelvis, sagittal (A) and axial (B, C) views, demonstrates a filling defect (arrows) from an embolus in the superior mesenteric artery.
Figure 3
Figure 3
(A) Two-dimensional TEE performed after the embolic event, midesophageal (51°) view with color flow Doppler during diastole, demonstrates the LAAO device in LAA (asterisk) with a layered thrombus on the atrial surface (arrow) and no peridevice leak. (B) Zoomed, two-dimensional TEE, midesophageal orthogonal biplane (90° and 180°) views during systole, demonstrates the LAAO device in the LAA (asterisk) with a layered thrombus on the atrial surface (arrows).
See this image and copyright information in PMC

References

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    1. Dukkipati S.R., Kar S., Holmes D.R., et al. Device-related thrombus after left atrial appendage closure: incidence, predictors, and outcomes. Circulation. 2018;138:874–885. - PubMed
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