JACC. Case reports · 2026
Incidental Right Atrial Appendage Thrombosis in a Patient With a Left Atrial Appendage Occlusion Device.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chamay Salomon, Raval Kanchi, Fadaee Bahar, Chekhava Darya, Uretsky Seth
Аннотация
BACKGROUND: Right atrial appendage (RAA) thrombosis is exceedingly rare, is usually found incidentally on imaging, and carries a high thromboembolic risk.
CASE SUMMARY: An 83-year-old man with chronic atrial fibrillation complicated by previous bleeding episodes on anticoagulation and managed most recently with a WATCHMAN device presented after a mechanical fall. Imaging work-up revealed a new incidental finding of RAA thrombosis.
DISCUSSION: This case highlights an uncommon thrombotic finding and that atrial fibrillation is a biatrial disease. Occlusion of the left atrial appendage does not eliminate the risk of right-sided thrombosis.
TAKE-HOME MESSAGES: Thromboembolic prevention in patients with chronic atrial fibrillation is challenging. Left atrial appendage occlusion devices, although effective, do not eliminate the risk of RAA thrombosis, as atrial fibrillation is a biatrial disease.
CASE SUMMARY: An 83-year-old man with chronic atrial fibrillation complicated by previous bleeding episodes on anticoagulation and managed most recently with a WATCHMAN device presented after a mechanical fall. Imaging work-up revealed a new incidental finding of RAA thrombosis.
DISCUSSION: This case highlights an uncommon thrombotic finding and that atrial fibrillation is a biatrial disease. Occlusion of the left atrial appendage does not eliminate the risk of right-sided thrombosis.
TAKE-HOME MESSAGES: Thromboembolic prevention in patients with chronic atrial fibrillation is challenging. Left atrial appendage occlusion devices, although effective, do not eliminate the risk of RAA thrombosis, as atrial fibrillation is a biatrial disease.