Korean J Anesthesiol.  2010 Oct;59(4):279-282. 10.4097/kjae.2010.59.4.279.

Left atrial appendage thrombus detected by intraoperative transesophageal echocardiography in a patient with acute small bowel infarction: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. kmshin1@yahoo.co.kr

Abstract

Acute mesenteric ischemia and infarction is an emergent situation associated with high mortality, commonly due to emboli or thrombosis of the mesenteric arteries. Embolism to the mesenteric arteries is most frequently due to a dislodged thrombus from the left atrium, left ventricle, or cardiac valves. We report a case of 70-year-old female patient with an acute small bowel infarction due to a mesenteric artery embolism dislodged from a left atrial appendage detected by intraoperative transesophageal echocardiography and followed by anticoagulation therapy.

Keyword

Left atrial appendage; Small bowel infarction; Thrombus; Transesophageal echocardiography

MeSH Terms

Aged
Atrial Appendage
Echocardiography, Transesophageal
Embolism
Female
Heart Atria
Heart Valves
Heart Ventricles
Humans
Infarction
Ischemia
Mesenteric Arteries
Thrombosis
Vascular Diseases
Ischemia
Vascular Diseases
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