Right atrial appendage thrombosis after percutaneous left atrial appendage occlusion: a case report - Takeaways - MDSpire

Right atrial appendage thrombosis after percutaneous left atrial appendage occlusion: a case report

  • By

  • Haohui Du

  • Lijun Zeng

  • Xiaobo Pu

  • June 17, 2026

  • 0 min

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  • 1

    Left atrial appendage occlusion (LAAO) is a stroke-prevention strategy for atrial fibrillation patients with contraindications to anticoagulation.

  • 2

    A 72-year-old man developed right atrial appendage (RAA) thrombosis one year after LAAO, highlighting risks beyond the left atrium.

  • 3

    The patient was treated with rivaroxaban, leading to complete resolution of the RAA thrombus within two weeks.

  • 4

    RAA thrombosis can occur post-LAAO, especially in patients with heart failure and enlarged cardiac chambers.

  • 5

    Clinicians should monitor for right-sided thrombi in atrial fibrillation patients after LAAO and individualize anticoagulation strategies.

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