Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement

We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during wh...

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Autores principales: Akamatsu, Kanako, Ito, Takahide, Sakane, Kazushi, Kanzaki, Yumiko, Sohmiya, Koichi, Hoshiga, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501232/
https://www.ncbi.nlm.nih.gov/pubmed/31149365
http://dx.doi.org/10.1155/2019/6531890
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author Akamatsu, Kanako
Ito, Takahide
Sakane, Kazushi
Kanzaki, Yumiko
Sohmiya, Koichi
Hoshiga, Masaaki
author_facet Akamatsu, Kanako
Ito, Takahide
Sakane, Kazushi
Kanzaki, Yumiko
Sohmiya, Koichi
Hoshiga, Masaaki
author_sort Akamatsu, Kanako
collection PubMed
description We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation. Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an even rarer finding in case of appendage thrombi coexisting.
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spelling pubmed-65012322019-05-30 Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement Akamatsu, Kanako Ito, Takahide Sakane, Kazushi Kanzaki, Yumiko Sohmiya, Koichi Hoshiga, Masaaki Case Rep Cardiol Case Report We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation. Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an even rarer finding in case of appendage thrombi coexisting. Hindawi 2019-04-16 /pmc/articles/PMC6501232/ /pubmed/31149365 http://dx.doi.org/10.1155/2019/6531890 Text en Copyright © 2019 Kanako Akamatsu et al. http://creativecommons.org/licenses/by/4.0/ 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.
spellingShingle Case Report
Akamatsu, Kanako
Ito, Takahide
Sakane, Kazushi
Kanzaki, Yumiko
Sohmiya, Koichi
Hoshiga, Masaaki
Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title_full Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title_fullStr Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title_full_unstemmed Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title_short Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
title_sort left atrial ball-shaped thrombus with concomitant biatrial appendage thrombi in a patient with prior mitral valve replacement
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6501232/
https://www.ncbi.nlm.nih.gov/pubmed/31149365
http://dx.doi.org/10.1155/2019/6531890
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