Giant Thrombus on the Left Atrial Posterior Wall Following Pulsed-Field and Radiofrequency Ablation
This case report highlights that pulsed-field ablation with radiofrequency ablation of the LAPW can rarely lead to a giant LAPW thrombus in patients with persistent AF, severe left ventricular dysfunction, and an enlarged LA with a reduced LA-emptying fraction, and intensified oral anticoagulation may be necessary to manage the postablation thrombus.
Authors
- Kenichi Kaseno (ORCID: https://orcid.org/0000-0002-0452-0578)
- Takehito Sasaki (ORCID: https://orcid.org/0000-0001-9139-2318)
- Suguru Nishiuchi (ORCID: https://orcid.org/0000-0002-3117-9985)
- Kohki Nakamura (ORCID: https://orcid.org/0000-0002-9777-4592)
- Akiko Kodama
- Shingo Yoshimura (ORCID: https://orcid.org/0000-0003-2744-0738)
- Kentaro Minami (ORCID: https://orcid.org/0000-0002-0071-0673)
- Taiki Masuyama
- Shigeto Naito
- K. Hattori
Institutions
- Gunma Prefectural Cardiovascular Center (JP)
- Dokkyo Medical University (JP)
Publication Details
- Journal
- JACC Case Reports
- Published
- 2025-11-28
- DOI
- https://doi.org/10.1016/j.jaccas.2025.106243
- Primary Topic
- Cardiac Arrhythmias and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00