Simultaneous Right and Left Atrial Appendage Thrombus in a Patient with Atrial Fibrillation: A Lesson to Remember.
We report a case of simultaneous right and left atrial appendage thrombi in a 76-year-old-man with atrial fibrillation. Although transesophageal echocardiography is considered a routine diagnostic procedure, complete and comprehensive visualization of both atrial appendages is of paramount importance, particularly with the introduction of new therapeutic options like left atrial appendage exclusion devices. We expect to raise awareness among clinicians of the prevalence and implications of bilateral atrial appendage thrombi in common clinical practice.
Department of Medicine, Einstein Medical Center, Philadelphia, Pennsylvania.
Carlos D
http://orcid.org/0000-0002-0710-8394
CD
Davila
Division of Cardiology, Tufts Medical Center, Boston, Massachusetts.
Natesa G
NG
Pandian
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D020517:Atrial Appendage / Q000000981:diagnostic imaging*; D001281:Atrial Fibrillation / Q000150:complications* / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000517:prevention & control; D016896:Treatment Outcome; D014463:Ultrasonography
D000925:Anticoagulants
echocardiography; left atrial appendage thrombus; right atrial appendage; transesophageal