Management of left atrial endocardium after extensive thrombectomy.
Thrombosis at the left atrium is a common phenomenon in patients with chronic mitral valve disease and atrial fibrillation. When thrombus organizes and evolves into chronic phase, clean thrombectomy can become a challenge during heart surgery because of dense adhesions and the lack of clean cleavage plane. Leaving residual thrombotic material or roughened endocardial surface after thrombectomy could be a potential source for further thrombosis and a nidus for thromboembolism. We recently managed such a patient successfully using extensive thrombectomy and endocardial coverage with a fresh autologous pericardial patch.
Lim
Cheong
C
Department of Thoracic and Cardiovascular Surgery, Seoul National University Bundang Hospital, Seoul, Korea.
Rhyu
Won-Hee
WH
Lee
Young
Y
Choh
Joong Haeng
JH
D020517:Atrial Appendage / Q000473:pathology / Q000601:surgery; D001281:Atrial Fibrillation / Q000150:complications; D002908:Chronic Disease; D005355:Fibrosis; D006325:Heart Atria / Q000601:surgery*; D006331:Heart Diseases / Q000473:pathology / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery; D010496:Pericardium / Q000637:transplantation*; D011183:Postoperative Complications / Q000517:prevention & control; D011654:Pulmonary Edema / Q000209:etiology; D012214:Rheumatic Heart Disease / Q000601:surgery; D017131:Thrombectomy; D013923:Thromboembolism / Q000517:prevention & control; D013927:Thrombosis / Q000473:pathology / Q000601:surgery*; D014182:Transplantation, Autologous; D016042:Transplantation, Heterotopic; D014262:Tricuspid Valve Insufficiency / Q000150:complications / Q000601:surgery