Persistent left atrial thrombus in atrial fibrillation under oral anticoagulation
The case of a 78-year-old female patient who suffered atrial fibrillation and persistent thrombus in the left atrial appendage despite sufficient anticoagulation is reported. The case is chosen to demonstrate the complexity inherent in prophylaxis as well as risk evaluation of thromboembolism on the...
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| Veröffentlicht in: | Herz 2010-12, Vol.35 (8), p.576-581 |
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| creator | Leithäuser, B Kasch, F Broemel, T Park, J-W |
| description | The case of a 78-year-old female patient who suffered atrial fibrillation and persistent thrombus in the left atrial appendage despite sufficient anticoagulation is reported. The case is chosen to demonstrate the complexity inherent in prophylaxis as well as risk evaluation of thromboembolism on the basis of clinical and echocardiographic criteria. We also discuss transesophageal echocardiography as the standard diagnostic procedure for detection of intracardiac thrombi prior to cardioversion as well as cardiac computer tomography as an alternative. |
| doi_str_mv | 10.1007/s00059-010-3384-5 |
| format | Article |
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The case is chosen to demonstrate the complexity inherent in prophylaxis as well as risk evaluation of thromboembolism on the basis of clinical and echocardiographic criteria. 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| fulltext | fulltext |
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| ispartof | Herz, 2010-12, Vol.35 (8), p.576-581 |
| issn | 0340-9937 1615-6692 |
| language | ger |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Administration, Oral Adrenergic beta-Antagonists - administration & dosage Aged Anticoagulants - administration & dosage Atrial Fibrillation - blood Atrial Fibrillation - complications Atrial Fibrillation - drug therapy Drug Therapy, Combination Echocardiography Echocardiography, Transesophageal Electric Countershock Enoxaparin - administration & dosage Female Heart Atria Heart Diseases - blood Heart Diseases - diagnosis Heart Diseases - etiology Heart Diseases - therapy Humans International Normalized Ratio Phenprocoumon - administration & dosage Risk Factors Thromboembolism - etiology Thrombosis - blood Thrombosis - diagnosis Thrombosis - etiology Thrombosis - therapy Tomography, X-Ray Computed |
| title | Persistent left atrial thrombus in atrial fibrillation under oral anticoagulation |
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