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Ann Thorac Surg 2007;83:1539-1541
© 2007 The Society of Thoracic Surgeons

Case Reports

Removal of a Left Atrial Thrombus Adherent to a Patent Foramen Ovale Occluder

Peter Krieg, MDa,*, Harald Lapp, MD, PhDc, Klaus Pethig, MD, PhDb, Jan F. Gummert, MD, PhDa, Torsten Bossert, MDa

a Department of Cardiothoracic Surgery, Friedrich-Schiller-University Jena, Jena, Germany
b Department of Cardiology, Friedrich-Schiller-University Jena, Jena, Germany
c Department of Cardiology, HELIOS Klinikum Erfurt, Erfurt, Germany

Accepted for publication November 3, 2006.

* Address correspondence to Dr Krieg, Klinik für Herz und Thoraxchirurgie, Friedrich-Schiller-Universität Jena, Jena, 07743 Germany. (Email: peter.krieg{at}med.uni-jena.de).

A 62-year-old man presented with bilateral thromboembolic occlusion of the lower leg arteries 8 months after closure of a patent foramen ovale with an Amplatzer patent-foramen-ovale occluder (AGA Medical Corporation, Plymouth, MN). Then he developed an acute myocardial ischemia. A left heart catheter revealed thromboembolic occlusion of the right coronary artery, and echocardiography demonstrated a thrombus attached to the device within the left atrium. Cerebral computer tomography showed a new ischemic lesion. In an emergency procedure, the device and the left atrial thrombus were removed, the septal defect was closed, and a coronary artery bypass grafting was performed. The patient was discharged from the hospital in stable condition.




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J. Bonatti, N. Bonaros, S. Muller, and T. Bartel
Completely endoscopic removal of a dislocated Amplatzer atrial septal defect closure device
Interactive CardioVascular and Thoracic Surgery, February 1, 2008; 7(1): 130 - 132.
[Abstract] [Full Text] [PDF]


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