{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T19:08:25Z","timestamp":1740164905783,"version":"3.37.3"},"reference-count":6,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T00:00:00Z","timestamp":1554768000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2019,4,9]]},"abstract":"<jats:p>The left atrial thrombus is a well-known complication of atrial fibrillation and rheumatic mitral valve disease and carries a high risk for systemic thromboembolism. They are generally dissolved after a certain period of optimal anticoagulation. A large thrombus, on the other hand, may persist even with adequate anticoagulation. The surgical removal of a thrombus theoretically poses some risk of systemic embolization, making its management a clinical dilemma. Furthermore, a refractory thrombus is uncommon. Thus, an evidence-based guideline in selecting the optimal therapy is needed. We report a case of a 74-year-old male with atrial fibrillation and a history of unprovoked pulmonary embolism who was incidentally found to have a massive left atrial thrombus shortly after discontinuing warfarin about 4 months following bioprosthetic aortic valve replacement. The thrombus was refractory to anticoagulation posing a clinical management dilemma. This case is interesting in terms of presentation and the approach to diagnosis and treatment.<\/jats:p>","DOI":"10.1155\/2019\/5254164","type":"journal-article","created":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T19:57:50Z","timestamp":1554839870000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["An Unusual Case of Left Atrial Mural Thrombus following Aortic Valve Replacement"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7449-7369","authenticated-orcid":true,"given":"Mohamed E.","family":"Taha","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, University of Nevada, Reno, NV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5936-9668","authenticated-orcid":true,"given":"Ammar","family":"Eljack","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Beaumont Health, Detroit, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisham","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, University of Iowa, IA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chanwit","family":"Roongsritong","sequence":"additional","affiliation":[{"name":"Department of Heart and Vascular Health, Renown Regional Medical Center, Reno, NV, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.82.5.547"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehs025"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.23126"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.01.052"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1378\/chest.13-2993"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/MAJ.0b013e318272b0b0"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/5254164.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/5254164.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2019\/5254164.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,9]],"date-time":"2019-04-09T19:57:52Z","timestamp":1554839872000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2019\/5254164\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,9]]},"references-count":6,"alternative-id":["5254164","5254164"],"URL":"https:\/\/doi.org\/10.1155\/2019\/5254164","relation":{},"ISSN":["2090-6404","2090-6412"],"issn-type":[{"type":"print","value":"2090-6404"},{"type":"electronic","value":"2090-6412"}],"subject":[],"published":{"date-parts":[[2019,4,9]]}}}