Floating thrombus on an ASD occluder device in a patient with hemophilia A.
The case presented is that of a 29-year-old man with a history of hemophilia A who was admitted with recurrent onsets of transient cerebrovascular ischemia; he had undergone a transvenous closure of an atrial septal defects with an occluder device (Cardioseal Starflex) two months ago. Due to a factor-VIII deficiency, no further anticoagulation therapy was initiated. On admission, transesophageal echocardiography revealed a floating thrombus on the left atrial side of the umbrella. The device was explanted via a right minithoracotomy, and the atrial septal defect was closed. The patient had an uneventful recovery.
Fabricius
A M
AM
Division of Cardiovascular Surgery, Heart Center, University of Leipzig, Russenstrasse 19, 04289 Leipzig, Germany. faba@medizin.uni-leipzig.de
Krueger
M
M
Falk
V
V
Hanke
M
M
Mohr
F W
FW
D000328:Adult; D000925:Anticoagulants; D000075202:Contraindications; D017548:Echocardiography, Transesophageal; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging* / Q000601:surgery*; D006467:Hemophilia A / Q000150:complications*; D006801:Humans; D008297:Male; D013908:Thoracotomy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery
D000925:Anticoagulants