| Literature DB >> 16337834 |
Dimitar Divchev1, Arnd Schaefer, Martin Fuchs, Thomas Breymann, Helmut Drexler, Gerd Peter Meyer.
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.Entities:
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Year: 2005 PMID: 16337834 DOI: 10.1016/j.euje.2005.10.011
Source DB: PubMed Journal: Eur J Echocardiogr ISSN: 1532-2114