Free-floating thrombus at left atrium in an advanced mitral stenosis case

Abstract

Abstract. Even though rheumatismal valve diseases are recently reduced, they are still frequently seen in developing countries. Left atrial thromboses commonly may occur within the left atrial appendix in the presence of an atrial fibrillation and are adhered to the left atrium wall. The case we are presenting in this article demonstrated symptoms such as syncope and shortness of breath and controls carried out indicated an advance degree of mitral narrowing, determined by echocardiography and accompanied with a presence of a "free-floating" thrombus at the left atrial. Once pre-operative studies were performed, patient was operated. The "free floating" thrombus at the left atrial was removed, a mitral valve replacement was performed and the patient was discharged from our clinic without any complications, at post-operative 7^th day.

Key words: Mitral stenosis, thrombus, atrial fibrillation

Keywords

• Mitral stenosis, thrombus, atrial fibrillation

Kaynakça

1. Onat A, Sarıoğlu T, İlerigelen B, et al. Serbest Sol Atrial Trombüsten Kaynaklanan Serebral Emboliye Bağlı Yavaş Atrial Flutter ve Miyokard Enfarktüsünü Taklit Eden Klinik Tablo, GKD Cer. Derg 1991; 1: 53Arboixa A, Alioc J. Cardioembolic Stroke: Clinical Features, Specific Cardiac Disorders and Prognosis Current Cardiology Reviews 2010; 6: 150-161. Goswami KC, Yadav R, Rao MB, et al. Clinical and echocardiographic predictors of left atrial clot and spontaneous echo contrast in patients with severe rheumatic mitral stenosis: a prospective study in 200 patients by transesophageal echocardiography. Int. J. Cardiol 2000; 31: 273-279.
2. Fukuda S, Wanibuchi Y, Nishimi M, et al. Multiple systemic embolization from floating thrombus in left atrium Kyobu Geka 1995; 48: 228-231.