Unexpected Left Atrial Thrombus After Aortic Valve Replacement and Left Atrial Ligation With AtriClip Device: A Case Report. Issue 2 (15th January 2018)

• Record Type: Journal Article
• Authors: Patel, Kinjal M.; Rosenbloom, Michael; Raza, Muhammad; Stevens, Sean; Rost, Jonathan; Awad, Ahmed; Desai, Ronak G.
• Is Part Of: A & A practice. Volume 10:Issue 2(2018)
• Publication Date: 2018-01-15
• Subjects: Analgesia -- Periodicals; Analgesia -- Case studies -- Periodicals; Anesthesiology -- Periodicals; Anesthesiology -- Case studies -- Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000631
• Languages: English
• ISSNs: 2575-3126

Abstract

Abstract : We report the unexpected transesophageal echocardiography (TEE) finding of a left atrial (LA) thrombus near the end of cardiopulmonary bypass and after deployment of an AtriClip (Atricure, Inc, Westchester, OH) in an 84-year-old man with atrial fibrillation and aortic stenosis undergoing aortic valve replacement and LA appendage ligation. TEE examination before cardiopulmonary bypass and deployment of the AtriClip had not shown a thrombus in the LA appendage. The heart was rearrested and thrombus was successfully removed through a left atriotomy. This case emphasizes the importance of careful TEE examination for dislodged thrombi after surgical manipulation of the LA appendage.