Background And Aim: Oral anticoagulation (AC) and percutaneous left atrial appendage (LAA) occlusion are the primary treatment modalities for stroke prevention in atrial fibrillation (AF), but there remains a subset of patients in whom these approaches present excess risk and isolated surgical LAA excision should be considered. We describe a 63-year-old female with AF and recurrent thromboembolic events who presented with an acute intraparenchymal hemorrhage and was found to have an intracardiac thrombus.
Methods: Given contraindications to AC and LAA occlusion, an isolated LAA surgical excision was pursued.
Results: She underwent successful surgical LAA excision and has since remained event-free.
Conclusion: It is important to recall the utility of therapies that have been previously used with success for intracardiac thrombi and still remain as viable options.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7363049 | PMC |
| http://dx.doi.org/10.1111/jocs.14570 | DOI Listing |
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