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We report a case in which a patient developed a massive left atrial (LA) thrombus after MVR and left-sided radiofrequency ablation (LRFA). Despite acutely elevated gradients across the bioprosthetic valve, the patient remained asymptomatic and hemodynamically stable; thus, a multidisciplinary, patient-centered discussion was had and the patient was treated successfully with oral anticoagulation.<\/jats:p>","DOI":"10.1177\/1556984520934632","type":"journal-article","created":{"date-parts":[[2020,7,5]],"date-time":"2020-07-05T13:35:32Z","timestamp":1593956132000},"page":"389-392","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Massive Left Atrial Thrombus After a Left Atrial Surgical Ablation and Bioprosthetic Mitral Valve Replacement"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3541-9920","authenticated-orcid":false,"given":"Mustafa","family":"Husaini","sequence":"first","affiliation":[{"name":"Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nishath","family":"Quader","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan C.","family":"Braverman","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ralph J.","family":"Damiano","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Division, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hersh S.","family":"Maniar","sequence":"additional","affiliation":[{"name":"Cardiothoracic Surgery Division, Department of Surgery, Washington University School of Medicine, St Louis, MO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,7,5]]},"reference":[{"key":"bibr1-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000503"},{"key":"bibr2-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.02.536"},{"key":"bibr3-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.10.076"},{"key":"bibr4-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2017.05.012"},{"key":"bibr5-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2016.04.015"},{"key":"bibr6-1556984520934632","first-page":"1273","volume":"8","author":"Chung J.","year":"2015","journal-title":"J Atr Fibrillation"},{"key":"bibr7-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2014.05.088"},{"key":"bibr8-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2016.11.027"},{"key":"bibr9-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.03.087"},{"key":"bibr10-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.05.051"},{"key":"bibr11-1556984520934632","first-page":"714","volume":"12","author":"Aoyagi S.","year":"2003","journal-title":"J Heart Valve Dis"},{"key":"bibr12-1556984520934632","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.111.963819"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984520934632","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1556984520934632","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984520934632","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:21:07Z","timestamp":1777461667000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1556984520934632"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7]]},"references-count":12,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,7]]}},"alternative-id":["10.1177\/1556984520934632"],"URL":"https:\/\/doi.org\/10.1177\/1556984520934632","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7]]}}}