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Less Invasive Surgical Closure of the Left Atrial Appendage for Cardiogenic Cerebral Embolism in a Patient with Dilated Cardiomyopathy Yoshiki Yamasaki 1 , Kanan Kurahashi 1 , Daisuke Arima 1 , Satoshi Nishi 1 , Akihiro Yoshimoto 1 , Yoshihiro Suematsu 1 1Department of Cardiovascular Surgery, Tsukuba Memorial Hospital Keyword: non-valvular atrial fibrillation , cardiogenic cerebral embolism , less invasive surgical closure of left atrial appendage , dilated cardiomyopathy pp.899-902
Published Date 2021/10/1
DOI https://doi.org/10.15106/j_kyobu74_899
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Less invasive surgical closure of the left atrial appendage is recommended to prevent cardiogenic thromboembolism in patients with chronic non-valvular atrial fibrillation (Af) and other high-risk cardiac diseases such as dilated cardiomyopathy (DCM). We report a case of a 57-year-old man with Af and DCM. Catheter ablation for Af was contraindicated in this patient with a history of cardiogenic thromboembolism, and anticoagulation therapy was initiated. Despite anticoagulation therapy, the patient developed another ischemic stroke and we administered aggressive anticoagulation therapy resulting in successful resolution of the left atrial appendage thrombus. Less invasive surgical closure of the left atrial appendage was successfully performed, and thromboembolism has not recurred for one year postoperatively.


© Nankodo Co., Ltd., 2021

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電子版ISSN 2432-9436 印刷版ISSN 0021-5252 南江堂

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