Atrial Thrombus and Embolic Stroke in a Patient With Surgical Appendage Ligation and Maze Procedure

Talha Ahmed; Patrick Kee

doi:10.1016/j.jaccas.2021.01.008

Atrial Thrombus and Embolic Stroke in a Patient With Surgical Appendage Ligation and Maze Procedure

JACC Case Rep. 2021 Apr 7;3(6):913-917. doi: 10.1016/j.jaccas.2021.01.008. eCollection 2021 Jun.

Authors

Talha Ahmed¹, Patrick Kee¹

Affiliation

¹ Department of Cardiovascular Medicine, University of Texas Health Science Center, Houston, Texas, USA.

Abstract

This case illustrates the incomplete protection of surgical ligation of left atrial appendage and maze procedure at the time of mitral valve replacement against thromboembolic complications and recurrence of atrial fibrillation. The utility of surgical left atrial appendage ligation as stroke prophylaxis and identification of selected high-risk subjects are reviewed. (Level of Difficulty: Intermediate.).

Keywords: AF, atrial fibrillation; CT, computed tomography; LAA, left atrial appendage; LAAO, left atrial appendage occlusion; left atrial appendage; left atrial thrombus; maze procedure; mitral valve replacement; stroke; surgical ligation.

Publication types

Case Reports