Giant left atrial appandage thrombus due to atrial fibrillation: Successful treatment with warfarin

摘要

I read with interest the case presented by Ercan et al. recently published in your journal [1]. They presented a case of huge left atrial appendage (LAA) thrombus in a patient with atrial fibrillation (AF) that was successfully treated with the combination of acetylsalicylic acid, unfractionated heparin and tirofiban. We also initiated the same treatment (combination of acetylsalicylic acid, unfractionated heparin and tirofiban for eight day) to a similar patient with huge left atrial appendage thrombus due to atrial fibrillation. However, our treatment failed and thrombus persisted in this period. Our patient had high-risk for surgical treatment because of heart failure. Thus, we started warfarin to prevent thromboembolic complications. Thrombus completely disappeared in 6-weeks follow-up.