Atrial Thrombus and Embolic Stroke in a Patient With Surgical Appendage Ligation and Maze Procedure

Figures

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  Figure 1. Electrocardiogram Electrocardiogram showing atrial fibrillation with rate of 60 beats/min.

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  Figure 2. Transthoracic Echocardiogram Transthoracic echocardiogram showing severely dilated left atrium (left atrial volume index of 75 ml/m2) and an echogenic mass, attached to the back wall of the atrium (blue arrows).

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  Figure 3. Transesophageal Echocardiogram Transesophageal echocardiogram showing large thrombus in the atrial cavity with both mobile and mural components as shown by blue arrows(A and B). Left atrial appendage ligation appears incomplete and a residual stump was detected by color flow Doppler (C and D); however, no thrombus, is seen in the residual left atrial appendage.

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  Figure 4. Head Computed Tomography Scan The computed tomography scan showing, at presentation, (A) ischemic infarct of the left middle cerebral artery with (B) stable hemorrhagic transformation a few days later. A = anterior; P = posterior.