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  • Title: Management of left atrial endocardium after extensive thrombectomy.
    Author: Lim C, Rhyu WH, Lee Y, Choh JH.
    Journal: Ann Thorac Surg; 2005 Jan; 79(1):e11-2. PubMed ID: 15620901.
    Abstract:
    Thrombosis at the left atrium is a common phenomenon in patients with chronic mitral valve disease and atrial fibrillation. When thrombus organizes and evolves into chronic phase, clean thrombectomy can become a challenge during heart surgery because of dense adhesions and the lack of clean cleavage plane. Leaving residual thrombotic material or roughened endocardial surface after thrombectomy could be a potential source for further thrombosis and a nidus for thromboembolism. We recently managed such a patient successfully using extensive thrombectomy and endocardial coverage with a fresh autologous pericardial patch.
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