Giant left atrial thrombus 17 years after orthotopic heart transplantation
Palabras clave : 
Cardiac transplantation
Thrombus
Congestive heart failure
Fecha incorporación: 
2010
Editorial : 
Oxford University Press
ISSN: 
1569-9293
Cita: 
Levy Praschker BG, Bastarrika G, Dell'Aquila A, Rabago G. Giant left atrial thrombus 17 years after orthotopic heart transplantation. Interact Cardiovasc Thorac Surg 2010 Oct;11(4):499-500.
Resumen
We present the case of a 66-year-old woman who underwent orthotopic heart transplantation 17 years earlier for dilated cardiomyopathy. After 7 years allograft coronary vasculopathy developed requiring coronary artery angioplasty. In year 15 postoperatively she experienced congestive heart failure and she became symptomatic requiring diuretics and digoxin treatment. In year 16 postoperatively a routine coronary computed tomography (CT) angiography study revealed a giant thrombus in the left atrium. The patient had had no thromboembolicrelated symptoms. Anticoagulation therapy was introduced and the patient has not presented any thromboembolic-related complication. As the symptoms of cardiac insufficiency worsened we decided to evaluate the patient for re-transplantation.

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Interact Cardiovasc Thorac Surg 2010.499.pdf
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