TY  - JOUR
AU  - Mathew, Eshani N.
AU  - Pang, Philip Y. K.
AU  - Mori, Makoto
AU  - Chua, Yeow Leng
AU  - Sin, Yoong Kong
PY  - 2017
TI  - Successful anticoagulation therapy for a giant left atrial thrombus following mitral valve repair
JF  - Journal of Thoracic Disease; Vol 9, No 7 (July 31, 2017): Journal of Thoracic Disease
Y2  - 2017
KW  - 
N2  - 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.
UR  - https://jtd.amegroups.org/article/view/14606