[A case of cardiogenic embolism, which occurred under appropriate warfarin use, treated with thoracoscopic left atrial appendectomy].
In: Rinsho shinkeigaku = Clinical neurology, Jg. 58 (2018-01-26), Heft 1, S. 9
academicJournal
Zugriff:
A 74-year-old man with a past medical history of bradycardiac atrial fibrillation and an old cerebral infarction presented with dysarthria. He had been treated with warfarin and PT-INR on admission was 2.0. MRI of the head revealed an acute ischemic stroke involving the cerebellum and left occipital lobe. Because transesophageal cardiac echography showed a thrombus in the left atrial appendage, anticoagulant treatment with warfarin and heparin was initiated. The thrombus was enlarging; therefore, we changed the anticoagulant therapy to apixaban with heparin on day 11. On day 17, a hemorrhagic cerebral infarction occurred. After the hemorrhage diminished, we treated him with warfarin aiming for a PT-INR between 3 and 4. The thrombus gradually shrank and disappeared on day 110. Finally, a thoracoscopic left atrial appendectomy was performed as a secondary prevention, with no recurrence till date.
Titel: |
[A case of cardiogenic embolism, which occurred under appropriate warfarin use, treated with thoracoscopic left atrial appendectomy].
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Autor/in / Beteiligte Person: | Kikuno, M ; Koga, M ; Kume, Y ; Ohtsuka, T ; Hayakawa, M ; Toyoda, K |
Zeitschrift: | Rinsho shinkeigaku = Clinical neurology, Jg. 58 (2018-01-26), Heft 1, S. 9 |
Veröffentlichung: | April 1963-: Tōkyō : Nihon Shinkei Gakkai ; <i>Original Publication</i>: Tōkyō : Nihon Rinshō Shinkei Gakkai, 1960-, 2018 |
Medientyp: | academicJournal |
ISSN: | 1882-0654 (electronic) |
DOI: | 10.5692/clinicalneurol.cn-001065 |
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