PMC6745096_01
Intraoperative TEE showing a well-positioned Watchman device without thrombus.
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fig1
There was no evidence of left atrial thrombus during and after the procedure as shown in Figure 1, and his activated clotting time was measured throughout the procedure which remained therapeutic.
16 hours postoperative TEE showing thrombus on a Watchman device.
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To better visualize the device, transesophageal echocardiogram was done about 16 hours after the procedure and it showed laminar thrombus on the device as shown in Figure 2.
45 days postoperative TEE showing a well-positioned Watchman device without thrombus.
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fig3
TEE after 45 days showed a well-positioned device with resolution of thrombus and no peridevice leak as shown in Figure 3. The INR level was therapeutic at 2.3.