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A case of left atrial free ball thrombus in a patient with prosthetic mitral valve

A free left atrial ball thrombus is relatively a rare diagnosis and usually leads to systemic embolization or fatal complication of thrombus incarceration in left ventricle inflow. We report a case of 52-year-old woman who was admitted to hospital with symptoms of heart failure. Routine echocardiogr...

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Autor principal: Ellaien, Ahmed Mohamed Fawzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Magdi Yacoub Heart Foundation 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133790/
https://www.ncbi.nlm.nih.gov/pubmed/34036094
http://dx.doi.org/10.21542/gcsp.2021.8
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author Ellaien, Ahmed Mohamed Fawzy
author_facet Ellaien, Ahmed Mohamed Fawzy
author_sort Ellaien, Ahmed Mohamed Fawzy
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description A free left atrial ball thrombus is relatively a rare diagnosis and usually leads to systemic embolization or fatal complication of thrombus incarceration in left ventricle inflow. We report a case of 52-year-old woman who was admitted to hospital with symptoms of heart failure. Routine echocardiography showed a free-floating ball thrombus in the left atrium. The free-floating thrombus was round with smooth surface and about 37 mm in diameter. The mitral valve prosthesis was well-functioning. The computed tomography of the patient also showed the left atrial ball thrombus. The erratic finding was that the patient was compliant on oral anticoagulants for the last 6 months with her INR in theraputic range. This suggested that this thrombus had been there for a some time and anticoagulants failed to resolve this problem. She was referred to cardiac surgery for thrombus extraction but the patient refused to have the operation.
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spelling pubmed-81337902021-05-24 A case of left atrial free ball thrombus in a patient with prosthetic mitral valve Ellaien, Ahmed Mohamed Fawzy Glob Cardiol Sci Pract Early Communication A free left atrial ball thrombus is relatively a rare diagnosis and usually leads to systemic embolization or fatal complication of thrombus incarceration in left ventricle inflow. We report a case of 52-year-old woman who was admitted to hospital with symptoms of heart failure. Routine echocardiography showed a free-floating ball thrombus in the left atrium. The free-floating thrombus was round with smooth surface and about 37 mm in diameter. The mitral valve prosthesis was well-functioning. The computed tomography of the patient also showed the left atrial ball thrombus. The erratic finding was that the patient was compliant on oral anticoagulants for the last 6 months with her INR in theraputic range. This suggested that this thrombus had been there for a some time and anticoagulants failed to resolve this problem. She was referred to cardiac surgery for thrombus extraction but the patient refused to have the operation. Magdi Yacoub Heart Foundation 2021-04-30 /pmc/articles/PMC8133790/ /pubmed/34036094 http://dx.doi.org/10.21542/gcsp.2021.8 Text en Copyright ©2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Early Communication
Ellaien, Ahmed Mohamed Fawzy
A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title_full A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title_fullStr A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title_full_unstemmed A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title_short A case of left atrial free ball thrombus in a patient with prosthetic mitral valve
title_sort case of left atrial free ball thrombus in a patient with prosthetic mitral valve
topic Early Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8133790/
https://www.ncbi.nlm.nih.gov/pubmed/34036094
http://dx.doi.org/10.21542/gcsp.2021.8
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