Thrombus formation on an Amplatzer closure device after left atrial appendage closure

摘要

A 51-year-old female underwent a percutaneous closure of the left atrial appendage with a 28-mm Amplatzer Cardiac Plug (ACP) (St Jude Medical). When she was 8 years old, she underwent a surgical closure of an atrial septal defect. She developed paroxysmal atrial fibrillation at the age of 32. When she was 48 years old, she had an ischaemic cerebellar stroke. Since then, she has been treated with coumadin. At routine follow-up, cerebral MRI microbleeds were observed, constituting a neurological contraindication for coumadin treatment.