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Herz

, Volume 39, Issue 7, pp 871–873 | Cite as

Massive thrombus originating from the interatrial septum and prolapsing into the left ventricle

  • A. AvciEmail author
  • A. Koç
  • D. Köprülü
  • M. Ürkmez
  • E. Alizade
  • G. Acar
  • T. Kırış
e-Herz: Case study
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Atrial fibrillation (AF) results in loss of mechanical contraction of the left atrium (LA) leading to slow flow velocities in the LA and left atrial appendix, which ends with thrombus formation and risk of systemic embolism [1]. Thrombus inside the left atrial cavity is usually localized in the appendix, while a ball-shaped thrombus generally originates from the interatrial septum [2, 3]. A ball thrombus in the left atrium was first reported by Wood in 1814 at the autopsy of a 15-year-old girl with mitral stenosis [4]. A ball-shaped thrombus is extremely rare in the absence of mitral valve disease and was first described in 1992 [2, 5, 6]. A ball-shaped thrombus carries a high risk of systemic embolism and because it does not respond to anticoagulation in the acute phase, surgical thrombectomy is the first line of treatment, making this condition clinically important [7].

Case report

An 88-year-old woman with a history of hypertension and chronic AF on antiplatelet therapy (ticlopidine...

Keywords

Left Atrium Left Anterior Descend Infective Endocarditis Right Coronary Artery Systemic Embolism 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Massiver Thrombus mit Ursprung im Vorhofseptum und Prolaps in den linken Ventrikel

Notes

Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Supplementary material

Video 1: Apical three chamber view of the echocardiogram showing huge mobile thrombus in the left atrium. (AVI 2,3MB)

Video 2: Apical four chamber view of the echocardiogram showing huge mobile thrombus in the left atrium. (AVI 1.7MB)

References

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Copyright information

© Urban & Vogel 2014

Authors and Affiliations

  • A. Avci
    • 1
    Email author
  • A. Koç
    • 2
  • D. Köprülü
    • 3
  • M. Ürkmez
    • 2
  • E. Alizade
    • 1
  • G. Acar
    • 1
  • T. Kırış
    • 3
  1. 1.Cardiology ClinicKartal-Koşuyolu Heart Education and Research HospitalIstanbulTurkey
  2. 2.Cardiovasculary Surgery ClinicOrdu State HospitalOrduTurkey
  3. 3.Cardiology ClinicOrdu State HospitalOrduTurkey

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