@joewalshmd @ekgpdx @j_m_mccabe @heartdrhanna @aidanraneymd @bkolskk @thenarulaseries @almanfi_cardio @gilberttangmd have seen it a few times. if sure it’s thrombus, oac for 4 weeks then proceed with tavr. if not sure, then tee. not issue of tavr related laa thrombus embolizing(unless need for ), but if pt has stroke then this will be huge confounder.