Systemic embolism with left atrial thrombus occurring four years after left atrial appendage closure in a patient with atrial fibrillation

摘要

Dear editor,The left atrial appendage(LAA)is the most common site for thrombus formation in patients with atrial fibrillation(AF).[1]We present the case of a patient with AF who underwent LAA closure(LAAC)with Watchman(Atritech,Boston Scientific,USA),in whom extracranial systemic embolic events(SEEs)with left atrial thrombus were observed after 4 years,and discuss relevant literature to improve the understanding of SEEs.