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Case Reports in Cardiology
Volume 2016, Article ID 7387946, 2 pages
http://dx.doi.org/10.1155/2016/7387946
Case Report

Endoscopic Ultrasound for the Detection of Left Atrial Appendage Thrombus: A Useful Technique in Patients with Transesophageal Echocardiography Contraindication

1Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain
2Myocardial Pathophysiology Area, Centro Nacional de Investigaciones Cardiovasculares [Spanish National Centre for Cardiovascular Research] Carlos III (CNIC), Madrid, Spain
3Interventional Cardiology Department, University General Hospital of Ciudad Real, Ciudad Real, Spain
4Digestive Department, University General Hospital of Ciudad Real, Ciudad Real, Spain

Received 12 March 2016; Accepted 2 August 2016

Academic Editor: Renee Bornemeier

Copyright © 2016 Manuel Marina-Breysse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Endoscopic ultrasound is a diagnostic and therapeutic technique used in specialized centers for patients that have undergone digestive procedures. This technique enables highly precise real-time imaging of the digestive tract wall and surrounding organs. Endoscopic ultrasound is also useful in patients with cardiovascular diseases such as atrial fibrillation. In patients with contraindication for transesophageal echocardiography due to high risk of esophageal bleeding or complications that may require immediate intervention, endoscopic ultrasound may be a safer option for visualizing atrial chambers to rule out the presence of left atrial appendage thrombi before cardioversion.