An unexpected complication of acute pancreatitis: Intra-cardiac thrombus

Am J Emerg Med. 2017 May;35(5):801.e1-801.e4. doi: 10.1016/j.ajem.2016.11.034. Epub 2016 Nov 12.

Abstract

Left atrial thrombus after acute pancreatitis (AP) is a rare clinical statement. Because of induction of systemic prothrombotic process by AP; some patients with underlying risk factors may develop an intra-cardiac thrombus. We present a 53years-old-woman with moderate mitral stenosis and atrial fibrillation. However the patient was under warfarin treatment, she developed a big left atrial big thrombus which was originated from left atrial appendage after she was suffered from AP.

Keywords: Acute pancreatitis; Atrial fibrillation; Left atrial thrombus; Three-dimensional echocardiography.

Publication types

  • Case Reports

MeSH terms

  • Anticoagulants / therapeutic use*
  • Atrial Fibrillation / drug therapy*
  • Cardiopulmonary Bypass*
  • Dyspnea / etiology*
  • Echocardiography, Transesophageal
  • Female
  • Humans
  • Middle Aged
  • Pancreatitis / complications*
  • Pancreatitis / diagnostic imaging
  • Pancreatitis / drug therapy
  • Sternotomy
  • Thrombosis / diagnosis*
  • Thrombosis / surgery
  • Treatment Outcome

Substances

  • Anticoagulants