Congenital Absence of Left Atrial Appendage in a Patient with Intracranial Hemorrhage
Intracranial hemorrhage is the most serious complication of anticoagulant therapy and is itself an absolute contraindication to further treatment. We present the case of a 78-year-old patient with permanent atrial fibrillation and previous intracranial hemorrhage during oral anticoagulation therapy,...
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| Veröffentlicht in: | The American journal of case reports 2015-08, Vol.16, p.514-516 |
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| container_title | The American journal of case reports |
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| creator | Di Gioia, Giuseppe Mega, Simona Visconti, Silvia Campanale, Cosimo Marco Creta, Antonio Ragni, Laura Di Sciascio, Germano |
| description | Intracranial hemorrhage is the most serious complication of anticoagulant therapy and is itself an absolute contraindication to further treatment.
We present the case of a 78-year-old patient with permanent atrial fibrillation and previous intracranial hemorrhage during oral anticoagulation therapy, who was a candidate for percutaneous closure of the left atrial appendage. Transesophageal echocardiography and computed tomography showed absence of the left atrial appendage. The patient continued with single antiplatelet therapy.
Absence of the left atrial appendage is a very rare congenital condition usually found in patients scheduled for cardiovascular procedures and without clinical significance. The risk of thromboembolism is reasonably low but unknown. |
| doi_str_mv | 10.12659/AJCR.894331 |
| format | Article |
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We present the case of a 78-year-old patient with permanent atrial fibrillation and previous intracranial hemorrhage during oral anticoagulation therapy, who was a candidate for percutaneous closure of the left atrial appendage. Transesophageal echocardiography and computed tomography showed absence of the left atrial appendage. The patient continued with single antiplatelet therapy.
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We present the case of a 78-year-old patient with permanent atrial fibrillation and previous intracranial hemorrhage during oral anticoagulation therapy, who was a candidate for percutaneous closure of the left atrial appendage. Transesophageal echocardiography and computed tomography showed absence of the left atrial appendage. The patient continued with single antiplatelet therapy.
Absence of the left atrial appendage is a very rare congenital condition usually found in patients scheduled for cardiovascular procedures and without clinical significance. The risk of thromboembolism is reasonably low but unknown.</description><subject>Aged</subject><subject>Anticoagulants - therapeutic use</subject><subject>Atrial Appendage - abnormalities</subject><subject>Atrial Fibrillation - complications</subject><subject>Atrial Fibrillation - drug therapy</subject><subject>Humans</subject><subject>Intracranial Hemorrhages - chemically induced</subject><subject>Intracranial Hemorrhages - diagnosis</subject><subject>Male</subject><subject>Stroke - etiology</subject><subject>Stroke - prevention & control</subject><issn>1941-5923</issn><issn>1941-5923</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1LAzEQhoMottTePEuOHmzNx252cxFKUVspKGLPIZtN2shutiap4r9319ZS5zLDzMM7w7wAXGI0xoSl_HbyNH0d5zyhFJ-APuYJHqWc0NOjugeGIbyjNhhhGaHnoEcYSTAjvA-W08attLNRVnBSBO2Uho2BC20inERvu_Zmo10pVxpaByV8kdFqF-GXjWs4d9FL5aXrwJmuG-_XLXkBzoysgh7u8wAsH-7fprPR4vlxPp0sRormSRyxnBUs1RhRllOToCzjWJG2ZjwxuOSGcWQyXNAC5ViakhKaKiSpybEqeMHoANztdDfbotal0t05ldh4W0v_LRppxf-Js2uxaj5FklLEc9oKXO8FfPOx1SGK2galq0o63WyDwBkiKGcZ73bd7FDlmxC8Noc1GIlfM0RnhtiZ0eJXx6cd4L_X0x8DHYQ9</recordid><startdate>20150804</startdate><enddate>20150804</enddate><creator>Di Gioia, Giuseppe</creator><creator>Mega, Simona</creator><creator>Visconti, Silvia</creator><creator>Campanale, Cosimo Marco</creator><creator>Creta, Antonio</creator><creator>Ragni, Laura</creator><creator>Di Sciascio, Germano</creator><general>International Scientific Literature, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20150804</creationdate><title>Congenital Absence of Left Atrial Appendage in a Patient with Intracranial Hemorrhage</title><author>Di Gioia, Giuseppe ; Mega, Simona ; Visconti, Silvia ; Campanale, Cosimo Marco ; Creta, Antonio ; Ragni, Laura ; Di Sciascio, Germano</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c384t-686b65e103683f407791c2683694f1d9f690f71b3b081afd3235c0a3f81cb9b63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Anticoagulants - therapeutic use</topic><topic>Atrial Appendage - abnormalities</topic><topic>Atrial Fibrillation - complications</topic><topic>Atrial Fibrillation - drug therapy</topic><topic>Humans</topic><topic>Intracranial Hemorrhages - chemically induced</topic><topic>Intracranial Hemorrhages - diagnosis</topic><topic>Male</topic><topic>Stroke - etiology</topic><topic>Stroke - prevention & control</topic><toplevel>online_resources</toplevel><creatorcontrib>Di Gioia, Giuseppe</creatorcontrib><creatorcontrib>Mega, Simona</creatorcontrib><creatorcontrib>Visconti, Silvia</creatorcontrib><creatorcontrib>Campanale, Cosimo Marco</creatorcontrib><creatorcontrib>Creta, Antonio</creatorcontrib><creatorcontrib>Ragni, Laura</creatorcontrib><creatorcontrib>Di Sciascio, Germano</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Di Gioia, Giuseppe</au><au>Mega, Simona</au><au>Visconti, Silvia</au><au>Campanale, Cosimo Marco</au><au>Creta, Antonio</au><au>Ragni, Laura</au><au>Di Sciascio, Germano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Congenital Absence of Left Atrial Appendage in a Patient with Intracranial Hemorrhage</atitle><jtitle>The American journal of case reports</jtitle><addtitle>Am J Case Rep</addtitle><date>2015-08-04</date><risdate>2015</risdate><volume>16</volume><spage>514</spage><epage>516</epage><pages>514-516</pages><issn>1941-5923</issn><eissn>1941-5923</eissn><abstract>Intracranial hemorrhage is the most serious complication of anticoagulant therapy and is itself an absolute contraindication to further treatment.
We present the case of a 78-year-old patient with permanent atrial fibrillation and previous intracranial hemorrhage during oral anticoagulation therapy, who was a candidate for percutaneous closure of the left atrial appendage. Transesophageal echocardiography and computed tomography showed absence of the left atrial appendage. The patient continued with single antiplatelet therapy.
Absence of the left atrial appendage is a very rare congenital condition usually found in patients scheduled for cardiovascular procedures and without clinical significance. The risk of thromboembolism is reasonably low but unknown.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>26241629</pmid><doi>10.12659/AJCR.894331</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1941-5923 |
| ispartof | The American journal of case reports, 2015-08, Vol.16, p.514-516 |
| issn | 1941-5923 1941-5923 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Aged Anticoagulants - therapeutic use Atrial Appendage - abnormalities Atrial Fibrillation - complications Atrial Fibrillation - drug therapy Humans Intracranial Hemorrhages - chemically induced Intracranial Hemorrhages - diagnosis Male Stroke - etiology Stroke - prevention & control |
| title | Congenital Absence of Left Atrial Appendage in a Patient with Intracranial Hemorrhage |
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