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Eur J Cardiothorac Surg 2002;21:542
© 2002 Elsevier Science NL

Images in cardio-thoracic surgery

Left atrial thrombus on a Teflon patch for ASD closure

M. Di Eusanio*, M.A.A.M. Schepens

Department of Cardiopulmonary Surgery, St. Antonius Hospital, Koekoekslaan 1, 3435 CM Nieuwegein, The Netherlands

Received 21 November 2001; accepted 23 December 2001.

* Corresponding author. Tel.: +31-30-609-2047; fax: +31-30-609-2120
e-mail: m_dieus{at}hotmail.com

Key Words: Thrombus • Teflon • Patch

A 68-year-old man who underwent atrial septal defect closure with a Teflon patch and mitral annuloplasty in 1977 was referred to our department for dyspnea. Echocardiographic findings revealed a large thrombus of 12 cm2 (Figs. 1 and 2) extending into the pulmonary veins originating from the atrial septum. The thrombus was approached by a modified Guiraudon incision and excised. The defect was closed by a Gore-Tex patch.



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  		Fig. 1. Apical three chamber view: note the large thrombus within the left atrium.

 


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  		Fig. 2. Operative specimen: organized thrombus attached to the Teflon patch.

 



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[Abstract] [Full Text] [PDF]

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