Heart within a Heart
نویسندگان
چکیده
Device based closure of the left atrial appendage (LAA) has emerged as a viable approach for stroke prevention in atrial fibrillation (AF) patients with contraindications to chronic oral anticoagulation. One of the most feared complications is device related thrombus formation. We present a 66-year-old male with chronic AF who developed a life-threatening intracranial bleed on oral anti-coagulation. He subsequently underwent LAA closure using an Amplatzer muscular ventricular septal defect closure device for stroke prevention. However, he was found to have a large thrombus attached to the device a year later. We present a review of the various LAA closure devices, importance of periodic surveillance via echocardiography and management options to prevent this complication. Also, the case highlights the importance of contrast-enhance echocardiography in diagnosis of LAA closure device thrombus.
منابع مشابه
دل آدمی و ویژگیهای آن از دیدگاه عینالقضات همدانی
To ‘eyn al-Qozāt Hamadāni, the heart is the essence of humanity, a divine subtle truth temporarily encapsulated by the impure material body. This essence, the divine tabula raza on which God’s message is recorded, cannot be uncovered as long as the material mask is not removed. To Hamadāni, God resides within man if he is prepared to look based on verse 21 of the Zāreyāt chapter of the holy Qur...
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