論文

2012年6月

Left atrial thrombus in patient with coronary-left atrium fistula.

General thoracic and cardiovascular surgery
  • Tatsuya Ogawa
  • ,
  • Tomoyuki Fujita
  • ,
  • Koichi Toda
  • ,
  • Yusuke Shimahara
  • ,
  • Junjiro Kobayashi

60
6
開始ページ
394
終了ページ
6
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s11748-012-0013-7

We treated a 77-year-old woman diagnosed with severe aortic stenosis, who had undergone catheter ablation for paroxysmal supraventricular tachycardia at the age of 62. Although the patient remained in sinus rhythm, she had been receiving Coumadin with a target INR level of 2.0 since that time. Preoperative coronary angiography revealed a coronary-left atrium (LA) fistula, while computed tomography and echocardiography findings did not detect thrombus formation. Intra-operative transesophageal echocardiography revealed a 2-cm solid mass, which unexpectedly appeared during deairing manipulation. Prompt cross-clamping and removal of an LA thrombus with closure of the LA appendage contributed to an uneventful postoperative course. The LA should be explored if a coronary-LA fistula is noted, even in non-mitral cases, especially those with a history of catheter ablation.

リンク情報
DOI
https://doi.org/10.1007/s11748-012-0013-7
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/22544421
ID情報
  • DOI : 10.1007/s11748-012-0013-7
  • PubMed ID : 22544421

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