[Electrical cardioversion and thrombogenesis. Apropos a case].
We report a case of a 73-years-old patient with atrial fibrillation who underwent direct current cardioversion. The transesophageal echocardiography performed before cardioversion excluded the presence of atrial thrombus. After cardioversion a new transesophageal echocardiography detected a thrombus in the left atrial appendage despite oral anticoagulation. Mechanism of thrombus formation and the need for oral anticoagulation before the procedure is being discussed.
Basterra Sola
N
N
Servicio de Cardiología, Hospital de Navarra, Pamplona.
Olaz Preciado
F
F
Ruiz Mateas
F
F
Carmona Salinas
J R
JR
Gervás Pavón
H
H
Martín González
J
J
Beramendi Calero
J R
JR
Elorz Romano
C
C
Berjón Reyero
J
J
de los Arcos Lage
E
E
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D003131:Combined Modality Therapy; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock / Q000009:adverse effects*; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
D000925:Anticoagulants
Cardioversión eléctrica y trombogénesis. A propósito de un caso.