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Left Atrial Appendage Thrombus Extraction Guided by Real Time Transesophageal Echocardiography: A Simple Solution to a Complex Problem
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  • Rohun Bhagat,
  • Daniel Ziazadeh,
  • Julie Wyrobek,
  • Peter Knight
Rohun Bhagat
University of Rochester

Corresponding Author:[email protected]

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Daniel Ziazadeh
University of Rochester
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Julie Wyrobek
University of Rochester
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Peter Knight
University of Rochester
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Abstract

Intra-operative discovery of left atrial appendage (LAA) thrombus on transesophageal echocardiography (TEE) poses a dilemma. While LAA thrombi are classically managed medically, leaving a thrombus in a patient undoubtedly increases the risk for life-altering stroke. Additionally, medical management with anticoagulation increases risk for hemorrhagic complications. Direct appendage incision and thrombus extraction under TEE guidance followed by appendage clip closure provides a simple, elegant solution to this complex problem.