Stroke in a Patient With a Surgically Ligated Left Atrial Appendage: Should Warfarin Be Continued After Left Atrial Appendage Ligation?

被引:0
作者
Kanjwal, Khalil [1 ]
Colyer, William R., Jr. [1 ]
机构
[1] Univ Toledo, Med Ctr, Div Cardiol, Sect Intervent Cardiol, Toledo, OH 43614 USA
关键词
stroke; ligated left atrium; warfarrin;
D O I
10.1097/MJT.0b013e3181ca70f0
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
We report on a 74-year-old woman who presented with embolic stroke of the brainstem and right cerebellum. She had undergone coronary bypass surgery and prophylactic ligation of the left atrial appendage in the past. On further investigations, a source of emboli was found to be an incompletely ligated left atrial appendage. Anticoagulation with warfarin if started after surgery would have reduced the risk of embolism in this patient.
引用
收藏
页码:E117 / E118
页数:2
相关论文
共 50 条
[21]   Left atrial appendage closure [J].
Singh I.M. ;
Holmes Jr. D.R. .
Current Cardiology Reports, 2010, 12 (5) :413-421
[22]   Quantitation of the Left Atrial Appendage [J].
Faddis, Mitchell N. .
CIRCULATION-CARDIOVASCULAR IMAGING, 2019, 12 (12)
[23]   Left Atrial Appendage Closure [J].
Lin, Albert C. ;
Knight, Bradley P. .
PROGRESS IN CARDIOVASCULAR DISEASES, 2015, 58 (02) :195-201
[24]   Left Atrial Appendage and Closure [J].
Holmes, David R., Jr. ;
Reddy, Vivek Y. .
CIRCULATION-CARDIOVASCULAR INTERVENTIONS, 2016, 9 (05)
[25]   What is the best way to surgically eliminate the left atrial appendage? [J].
Damiano, Ralph J. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 52 (11) :930-931
[26]   The Left Atrial Appendage Revised [J].
Barbosa Evora, Paulo Roberto ;
Menardi, Antonio Carlos ;
Celotto, Andrea Carla ;
Albuquerque, Agnes Afrodite S. ;
Araujo Chagas, Hannah Miranda ;
Rodrigues, Alfredo Jose .
BRAZILIAN JOURNAL OF CARDIOVASCULAR SURGERY, 2017, 32 (06) :517-522
[27]   Comparison of left atrial and left atrial appendage mechanics in the risk stratification of stroke in patients with atrial fibrillation [J].
Mao, Yankai ;
Yu, Chan ;
Yang, Yuan ;
Ma, Mingming ;
Wang, Yunhe ;
Jiang, Ruhong ;
Chen, Ran ;
Zhao, Bowen ;
Jiang, Chenyang .
CARDIOVASCULAR ULTRASOUND, 2021, 19 (01)
[28]   Comparison of left atrial and left atrial appendage mechanics in the risk stratification of stroke in patients with atrial fibrillation [J].
Yankai Mao ;
Chan Yu ;
Yuan Yang ;
Mingming Ma ;
Yunhe Wang ;
Ruhong Jiang ;
Ran Chen ;
Bowen Zhao ;
Chenyang Jiang .
Cardiovascular Ultrasound, 19
[29]   Percutaneous left atrial appendage closure for stroke prevention in atrial fibrillation [J].
M. J. Swaans ;
M. C. Post ;
B. J. W. M. Rensing ;
L. V. A. Boersma .
Netherlands Heart Journal, 2012, 20 :161-166
[30]   Left atrial appendage occlusion with Watchman device after incomplete surgical ligation [J].
Manongi, Ngoda ;
Volodarskiy, Alexander ;
Goldbarg, Seth .
BMJ CASE REPORTS, 2022, 15 (11)