Submassive Pulmonary Embolism and Left Atrial Thrombus

摘要

class="kwd-title">Keywords: Left atrial thrombus, Pulmonary embolism, Echocardiography class="head no_bottom_margin" id="sec1title">IntroductionLeft atrial appendage (LAA) and/or left atrial (LA) thrombi in the setting of nonvalvular atrial fibrillation (AF) are treated with anticoagulation. However, surgical thrombectomy and LAA ligation are frequently undertaken in patients with valvular heart disease and AF. There are no data pertaining to the management of incidentally detected large LA or LAA thrombi in the setting of acute submassive pulmonary embolism (PE). We present the case of a patient with a large thrombus seen in the left atrium with attachment in the LAA in the setting of bilateral PE and acute on chronic deep venous thrombosis and discuss the management strategies.