Extraction through Minimal Invasive Partially Video-Assisted Anterolateral Right Thoracotomy of a Voluminous Left Atrial Thrombus Due to Unregulated Warfarin Treatment

Extraction through Minimal Invasive Partially Video-Assisted Anterolateral Right Thoracotomy of a Voluminous Left Atrial Thrombus Due to Unregulated Warfarin Treatment

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Corresponding Author
Sotirios Marinakis
Department of cardiothoracic surgery, CHU Charleroi, Belgium

A B S T R A C T

A 62-year-old female patient with history of atrial fibrillation and protein C and S deficiency was admitted for acute dyspnea. Laboratory control demonstrated an unregulated warfarin treatment. Transthoracic echocardiography and computed tomography revealed a giant left atrial thrombus and a severe mitral stenosis. The day after admission a full body tomography revealed spleen emboli and non-violation of hematoencephalic barrier. Surgical thrombus extraction and mitral valve replacement were successfully performed by minimal invasive, partially video-assisted, right anterolateral thoracotomy. Echocardiographic control after two months showed no evidence of residual thrombus. Massive left atrial thrombosis must be operated urgently because of the imminent risk of embolization. The described technique represents a good compromise between full video-assisted port-access surgery and traditional midline sternotomy.

Article Info

Article Type
Case Report
Publication history
Received: Mon 18, Nov 2019
Accepted: Fri 29, Nov 2019
Published: Wed 11, Dec 2019
Copyright
© 2023 Sotirios Marinakis. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JICOA.2019.04.10