Surgical repair of an uncontrolled thrombus caused by the Watchman device
| Autor: | Takayuki Gyoten, Dirk Fritzsche, Oliver Grimmig, Sören S. Just |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Heart Diseases Septal Occluder Device Population 030204 cardiovascular system & hematology Recurrent thrombus 03 medical and health sciences 0302 clinical medicine Left atrial Atrial Fibrillation medicine Humans Atrial Appendage cardiovascular diseases Thrombus education Device Removal Aged Surgical repair education.field_of_study Pericardial patch business.industry Anticoagulants Thrombosis medicine.disease Surgery Pericardial sac 030228 respiratory system Female Cardiology and Cardiovascular Medicine Complication business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 28:164-166 |
| ISSN: | 1569-9285 |
| Popis: | A device-related thrombus is a very common complication after the implantation of a Watchman device. Although anticoagulation therapy is the standard first choice therapy for a device-related thrombus, complications related to bleeding or existence of non-responders to the anticoagulation therapy are reported. Therefore, the possibility of another treatment, including surgical repair, needs to be discussed in the population unsuccessfully treated with anticoagulation therapy. We performed device-related thrombus removal and covered the orifice of the left atrial appendage with an autologous pericardial patch in 2 cases involving non-responders to anticoagulation therapy. Herein, we describe the technique and results of our experience with these 2 patients. The covering technique with an autologous pericardial patch is simple but highly efficient in preventing recurrent thrombus formation. |
| Databáze: | OpenAIRE |
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