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
[41]   Left atrial appendage exclusion in atrial fibrillation [J].
Rozen, Guy ;
Margolis, Gilad ;
Marai, Ibrahim ;
Roguin, Ariel ;
Rahamim, Eldad ;
Planer, David ;
Heist, Edwin Kevin ;
Amir, Offer ;
Tahiroglu, Ilgar ;
Ruskin, Jeremy ;
Mansour, Moussa ;
Elbaz-Greener, Gabby .
FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9
[42]   Association between incomplete surgical ligation of left atrial appendage and stroke and systemic embolization [J].
Aryana, Arash ;
Singh, Steve K. ;
Singh, Sheldon M. ;
O'Neill, P. Gearoid ;
Bowers, Mark R. ;
Allen, Shelley L. ;
Lewandowski, Sammi L. ;
Vierra, Eleanor C. ;
d'Avila, Andre .
HEART RHYTHM, 2015, 12 (07) :1431-1437
[43]   Threading a needle: percutaneous closure of an incompletely ligated left atrial appendage [J].
Sood, Abhinav ;
Pezet, Channing ;
Parul, Fnu ;
Sood, Anubhav ;
Kalavakunta, Jagadeesh ;
Gupta, Vishal .
FUTURE CARDIOLOGY, 2025, 21 (07) :467-471
[44]   Left Atrial Thrombus After Complete Left Atrial Appendage Exclusion With LARIAT Device [J].
Koranne, Ketan P. ;
Fernando, Rajeev R. ;
Laing, Susan T. .
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS, 2015, 85 (02) :E54-E57
[45]   Watchman implantation in a patient with left atrial appendage thrombus [J].
Friedman, Daniel J. ;
Greene, Stephen J. ;
Piccini, Jonathan P. ;
Vemulapalli, Sreekanth ;
Jackson, Kevin P. .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2019, 30 (09) :1694-1695
[46]   Percutaneous Catheter-Based Left Atrial Appendage Ligation and Management of Periprocedural Left Atrial Appendage Perforation With the LARIAT Suture Delivery System [J].
Shetty, Ranjith ;
Leitner, Joshua P. ;
Zhang, Ming .
JOURNAL OF INVASIVE CARDIOLOGY, 2012, 24 (11) :E289-E293
[47]   Rudimentary left atrial appendage in a patient with a history of CVA [J].
Sardari, Akram ;
Nakhaee, Akram ;
Larti, Farnoosh ;
Roozitalab, Maryam .
CLINICAL CASE REPORTS, 2024, 12 (09)
[48]   First-in-Human Percutaneous Epicardial-Only Left Atrial Appendage Closure Using Sierra Left Atrial Appendage Ligation System [J].
Batko, Jakub ;
Litwinowicz, Radoslaw ;
Kapelak, Boguslaw ;
Bartus, Krzysztof .
JOURNAL OF CLINICAL MEDICINE, 2024, 13 (23)
[49]   Early Stroke and Mortality After Percutaneous Left Atrial Appendage Occlusion in Patients With Atrial Fibrillation [J].
Kogan, Edward V. ;
Sciria, Christopher T. ;
Liu, Christopher F. ;
Wong, S. Chiu ;
Bergman, Geoffrey ;
Ip, James E. ;
Thomas, George ;
Markowitz, Steven M. ;
Lerman, Bruce B. ;
Kim, Luke K. ;
Cheung, Jim W. .
STROKE, 2023, 54 (04) :947-954
[50]   Percutaneous left atrial appendage closure using the LAmbre device in patients with atrial fibrillation and left atrial appendage thrombus [J].
Jin, Lu-Shen ;
Ke, Jin-Yan ;
Lin, Yuan-Nan ;
Li, Ling ;
Fu, Jia-Yang ;
Chen, Yi-Lian ;
Qiu, Yi-Xuan ;
Li, Xiao-Wei ;
Pan, Yang-Qi ;
Li, Yue-Chun .
FRONTIERS IN CARDIOVASCULAR MEDICINE, 2022, 9