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Successful anticoagulation therapy for a giant left atrial thrombus following mitral valve repair

  
@article{JTD14606,
	author = {Eshani N. Mathew and Philip Y. K. Pang and Makoto Mori and Yeow Leng Chua and Yoong Kong Sin},
	title = {Successful anticoagulation therapy for a giant left atrial thrombus following mitral valve repair},
	journal = {Journal of Thoracic Disease},
	volume = {9},
	number = {7},
	year = {2017},
	keywords = {},
	abstract = {A 72-year-old male with atrial fibrillation (AF) underwent mitral valve (MV) repair and concomitant procedures. He was discharged with therapeutic Warfarin dosing but was readmitted 3 weeks later with a right caudate nucleus infarct and subtherapeutic anticoagulation. Echocardiography showed a giant left atrial (LA) thrombus. Low-molecular-weight heparin was promptly initiated. Unfortunately, the patient suffered an intracranial hemorrhage (ICH) 2 days later. He declined surgical thrombectomy and was managed conservatively, remaining stable without neurological deficits. Serial brain imaging showed interval stability, allowing Warfarin to be resumed. Follow-up echocardiography demonstrated partial and complete resolution of the thrombus at 1 and 3 months, respectively.},
	issn = {2077-6624},	url = {https://jtd.amegroups.org/article/view/14606}
}