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J Echocardiogr (2015) 13:153–156 DOI 10.1007/s12574-015-0258-0 CASE IMAGE IN CARDIOVASCULAR ULTRASOUND Bilateral atrial appendage thrombus formation in a patient with atrial fibrillation 1 1 1 1 • • • • Ayano Enzan Koichiro Imai Teruyoshi Kume Tomoko Tamada 1 1 1 1 • • • Kikuko Obase Ryotaro Yamada Yoji Neishi Shiro Uemura Received: 17 June 2015 / Revised: 13 July 2015 / Accepted: 15 July 2015 / Published online: 24 July 2015 Japanese Society of Echocardiography 2015 A 60-year-old Japanese man without obvious past medical In the present case, we were able to visualize both left history was referred to our hospital because of dyspnea. An and right appendage thrombi using 3D TEE. This is the first electrocardiogram revealed atrial fibrillation (AF) without report of 3D TEE images of bilateral atrial thrombi. ST-T change, and a chest X-ray showed mild pulmonary Thrombus formation in LAA is a common complication congestion and bilateral pleural effusion. Two-dimensional in patients with AF, and its incidence is quoted as transthoracic echocardiography (2D TTE) on admission 12–15 %. In contrast, the formation of a RAA thrombus is showed markedly reduced left ventricular systolic function relatively rare, at 0.8–6 % [1–4], and few cases
Journal of Echocardiography – Springer Journals
Published: Jul 24, 2015
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