Right Atrial Appendage Thrombus in a Patient Undergoing Thoracoscopic Left Atrial Appendectomy for Atrial Fibrillation

Konomi Sakata; Ayumi Goda; Mitsufumi Furuya; Junnosuke Ito; Hidehito Endo; Hiroshi Kubota; Kiyotaka Nagahama; Junji Shibahara; Kyoko Soejima

doi:10.1016/j.jaccas.2022.09.005

Right Atrial Appendage Thrombus in a Patient Undergoing Thoracoscopic Left Atrial Appendectomy for Atrial Fibrillation

JACC Case Rep. 2022 Nov 3:5:101635. doi: 10.1016/j.jaccas.2022.09.005. eCollection 2023 Jan 4.

Authors

Konomi Sakata¹, Ayumi Goda¹, Mitsufumi Furuya¹, Junnosuke Ito¹, Hidehito Endo², Hiroshi Kubota², Kiyotaka Nagahama³, Junji Shibahara³, Kyoko Soejima¹

Affiliations

¹ Department of Cardiology, Kyorin University School of Medicine, Tokyo, Japan.
² Department of Cardiovascular Surgery, Kyorin University School of Medicine, Tokyo, Japan.
³ Department of Pathology, Kyorin University School of Medicine, Tokyo, Japan.

Abstract

Left atrial appendage (LAA) closure may prevent atrial fibrillation (AF)-induced thromboembolism. We describe a rare case of right atrial (RA) thrombus after thoracoscopic left atrial appendectomy and pulmonary vein isolation. Careful evaluation for the presence of RA thrombus in patients with persistent AF after LAA occlusion may be necessary. (Level of Difficulty: Intermediate.).

Keywords: AF, atrial fibrillation; DOAC, direct oral anticoagulant; LAA, left atrial appendage; LAAO, left atrial appendage occlusion; RA, right atrial; RAA, right atrial appendage; TLAA, thoracoscopic left atrial appendectomy; TPVI, thoracoscopic pulmonary vein isolation; atrial fibrillation; echocardiography; left atrial appendectomy; right atrial thrombus.

Publication types

Case Reports