Abstract
A 64-year-old female was admitted with general fatigue and orthopnea. Preopertive echocardiography showed a free ball thrombus in the left atrium, mitral stenosis and severe tricuspid regurgitation. To avoid a herniation of thrombus to the mitral orifice, an emergency operation was performed. Two free and small mural thrombi were found in the left atrium. Thrombectomy, mitral valve replacement and tricuspid annuloplasty were performed successfully. Postoperative course was uneventful, and she was discharged in good condition on the 21st postoperative day.
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Lie JT, Entman ML: “Hole-in-one” sudden death. mitral stenosis and left atrial ball thrombus. Am Heart J 91: 798–804, 1976
Hewitt JH: Free thrombi and ball thrombi in the heart. Johns Hopkins Hosp Rep 17: 1–82, 1916
24: 576–582, 1992
42: 615–619, 1994
44: 539–544, 1996
Miyamoto S, Hadama T, Mori Y, Shigemitsu O, Sako H, Soeda T, Yoshimatsu T, Uchida Y: The effect of body position on a free-floating ball thrombus as observed by transesophageal echocardiography. Clin. Cardiol 18: 535–538, 1995
Biack IW, Cvanney GB, Walsh WF, Brondor D: Embolization of a left atrial ball thrombus during transesophageal echocardiography. J Am Soc Echocardiogr 5: 271–273, 1992
(ball thrombus). 23: 499–502, 1988
Schechter DC: Left atrial ball-valve thrombus. NY state J Med 82: 1831–1838, 1982
41: 699–703, 1993
1. 48: 960–962, 1995
Conzalez-Alajas T, Evangelista-Masip A, Castillo HGDC, Tornos-Mas P, Soler-Soler J: Recurring free-floating thrombus in the left atrium in a patient with mitral prosthesis. Chest 106: 303–304, 1994
Aggarmal K, Collins JJ, Reimold SC: Recurrence of left atrial ball thrombus after surgical thrombectomy. Am Heart J 127: 1648–1650, 1994
Nurra V, Calisi P, Astengo D, Ballerini R, Oliveri M, Torriglia A, Torrielli A: Free-floating left atrial thrombus. Echocardiographic demonstration and treatment with oral anticoagulation. Am J Noninvas Cardiol 8: 51–52, 1994
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Mukai, S., Murata, H., Kitai, K. et al. A rare case of 2 free thrombi in left atrium with mitral stenosis. Jpn J Thorac Caridovasc Surg 46, 789–792 (1998). https://doi.org/10.1007/BF03217823
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DOI: https://doi.org/10.1007/BF03217823