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- Title
In response to "Left atrial thrombus in a case of severe aortic stenosis with severe left ventricular dysfunction: An incidental finding on transesophageal echocardiography".
- Authors
Arora, Prateek; Neema, Praveen; Neema, Praveen K
- Abstract
The authors of this paper describe the presence of thrombus in left atrial appendage (LAA) during transesophageal echocardiography (TEE) examination in a patient undergoing aortic valve replacement (AVR).[[1]] The patient was diagnosed with severe aortic stenosis (AS), severe aortic regurgitation (AR) and severe left ventricular (LV) dilatation and dysfunction with an ejection fraction (EF) of 18'. The intraoperative finding of LA thrombus involves major changes in surgical and cardiopulmonary bypass (CPB) management plan.[[8]] The presence of LA thrombus necessitates careful handling of the heart until the initiation of CPB and clamping of the aorta, else the LA thrombus can be embolized into the systemic circulation.[[9]] However, thrombus embolization in spite of adequate precaution has been reported. However, for removal of LA thrombus, opening of LA or right atrium (Transseptal approach) is required for which total CPB is essential.
- Subjects
TRANSESOPHAGEAL echocardiography; AORTIC stenosis; THROMBOSIS; CEREBRAL embolism &; thrombosis; CORONARY artery bypass; EOSINOPHILIC esophagitis; THROMBOSIS complications; LEFT ventricular dysfunction; DIAGNOSIS; DISEASE complications
- Publication
Annals of Cardiac Anaesthesia, 2021, Vol 24, Issue 1, p90
- ISSN
0971-9784
- Publication type
journal article
- DOI
10.4103/aca.ACA_150_19