Publications by authors named "Aakash Rana"
Article Synopsis
- Right atrial thrombus is a rare but deadly condition, as seen in a 75-year-old man with underlying health issues who developed atrial flutter and had a thrombus found in his right atrial appendage during evaluation.
- After the thrombus was confirmed through imaging, the patient was not a candidate for surgery and was prescribed apixaban while transitioning to hospice care.
- This case underscores the lack of formal guidelines for treating right atrial thrombi, indicating a need for further research to establish management protocols and avoid complications.
Background: Left atrial appendage occlusion (LAAO) is an alternative to anticoagulation for stroke prevention in select patients with atrial fibrillation (AF). In this study, we describe the case of a patient with delayed device-related thrombus (DRT) at 13 months post-LAAO in a setting of atrial stasis due to a worsening mitral bioprosthetic stenosis.
Case Summary: A 69-year-old woman with a history of rheumatic mitral stenosis and regurgitation post-bioprosthetic mitral valve replacement (6 years prior) and paroxysmal AF was referred for percutaneous LAAO due to recurrent severe gastrointestinal bleeding while on anticoagulation.
Pulmonary Vein Thrombus After Mitral Valve Transcatheter Edge-to-Edge Repair.
Methodist Debakey Cardiovasc J
August 2024
A 76-year-old female with a complicated medical history presented for Watchman (Boston Scientific) placement 2 months after mitral valve transcatheter edge-to-edge repair (TEER). Preoperative workup before Watchman placement confirmed the presence of a thrombus in the left superior pulmonary vein. Post-procedure mitral valve TEER transesophageal echocardiogram showed no thrombus in the left atrium appendage or pulmonary veins.
View Article and Find Full Text PDFInfective endocarditis (IE) is a life-threatening cardiac infection usually associated with cardiac valves. Left atrial (LA) mural endocarditis is rarely seen and occurs in isolation or in conjunction with mitral valve endocarditis. We present a case of a 61-year-old male with no prior cardiac history who presented with melena and fevers.
View Article and Find Full Text PDFA 51-year-old male with a complicated medical history presented with shortness of breath. Preoperative workup confirmed the presence of a large atrial mass. However, delayed gadolinium enhancement CMR with long inversion time (TI 600) showed lack of enhancement, which was suggestive of a thrombus.
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