PMID- 30524555
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20201001
IS  - 1878-5409 (Electronic)
IS  - 1878-5409 (Linking)
VI  - 13
IP  - 2
DP  - 2016 Feb
TI  - A rare appearance of a large mural thrombus in left atrium detected two years 
      after the Maze procedure.
PG  - 52-55
LID - 10.1016/j.jccase.2015.10.002 [doi]
AB  - A 77-year-old Japanese woman underwent bioprosthetic aortic valve replacement 
      (AVR) and the Maze procedure for severe aortic valve disease and paroxysmal 
      atrial fibrillation (AF), and one year after the AVR, she also underwent a 
      permanent pacemaker implantation for sick sinus syndrome. At two postoperative 
      years, a large mural mass happened to be detected in her left atrium on routine 
      trans-thoracic echocardiography. The cardiac rhythm records produced by the 
      implanted pacemaker demonstrated the recurrence of AF. As anticoagulant therapy 
      was not effective at reducing the size of the mass, surgery was performed and 
      organized thrombus was detected on the ablation line made at the Maze procedure. 
      <Learning objective: The formation of large mural thrombi in the left atrium 
      after the Maze procedure is rare in patients without mitral valve disease. The 
      thrombus was considered to have been caused by several complex factors, including 
      atrial wall damage brought by the Maze procedure and the recurrence of atrial 
      fibrillation (AF). It is important to be aware that the recurrence of AF after 
      the Maze procedure can carry a risk of unexpected mural thrombus formation in the 
      left atrium.>.
FAU - Taminishi, Shunta
AU  - Taminishi S
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Nomura, Tetsuya
AU  - Nomura T
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Kubota, Hiroshi
AU  - Kubota H
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Miyawaki, Daisuke
AU  - Miyawaki D
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Urata, Ryota
AU  - Urata R
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Sugimoto, Takeshi
AU  - Sugimoto T
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Higuchi, Yusuke
AU  - Higuchi Y
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Kato, Taku
AU  - Kato T
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Keira, Natsuya
AU  - Keira N
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
FAU - Doi, Kiyoshi
AU  - Doi K
AD  - Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, 
      Japan.
FAU - Yaku, Hitoshi
AU  - Yaku H
AD  - Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, 
      Japan.
FAU - Tatsumi, Tetsuya
AU  - Tatsumi T
AD  - Department of Cardiovascular Medicine, Nantan General Hospital, Kyoto, Japan.
LA  - eng
PT  - Journal Article
DEP - 20151203
PL  - Japan
TA  - J Cardiol Cases
JT  - Journal of cardiology cases
JID - 101549579
PMC - PMC6262096
OTO - NOTNLM
OT  - Atrial fibrillation
OT  - Complication
OT  - Maze procedure
EDAT- 2015/12/03 00:00
MHDA- 2015/12/03 00:01
PMCR- 2015/12/03
CRDT- 2018/12/08 06:00
PHST- 2015/03/23 00:00 [received]
PHST- 2015/09/20 00:00 [revised]
PHST- 2015/10/08 00:00 [accepted]
PHST- 2018/12/08 06:00 [entrez]
PHST- 2015/12/03 00:00 [pubmed]
PHST- 2015/12/03 00:01 [medline]
PHST- 2015/12/03 00:00 [pmc-release]
AID - S1878-5409(15)00098-5 [pii]
AID - 10.1016/j.jccase.2015.10.002 [doi]
PST - epublish
SO  - J Cardiol Cases. 2015 Dec 3;13(2):52-55. doi: 10.1016/j.jccase.2015.10.002. 
      eCollection 2016 Feb.