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Free floating ball thrombus of left atrium developing late after closed mitral commissurotomy - a case report

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Abstract

Left atrial ball thrombus is very rare entity and it is even rare to find a large free floating ball thrombus of left atrium in a post-operative patient. Thrombus of left atrium usually occurs in atrial fibrillation or in mitral valve stenosis. Here we are presenting a case of large ball thrombus of left atrium in a patient who underwent closed mitral commissurotomy 21 years back. A 50 years old female patient was admitted with history of breathlessness, palpitation and cough of one month duration. She was doing well after mitral valve commissurotomy. Her pre-operative trans-thoracic echocardiography showed a left atrial thrombus and severe mitral stenosis with valvular area of 0.7 cm2 and atrial fibrillation. Per-operative trans-oesophageal echocardiography showed a large free floating ball thrombus of left atrium. She underwent removal of left atrial thrombus and mitral valve replacement using Sorin Bicarbon valve.

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Authors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, S.S.K.M. Hospital, Institute of Postgraduate Medical Education and Research, 242 AJC Bose Road, Kolkata, 70020, India

    Mohd. Shahbaaz Khan, Kanak Narayan Bhattacharya, Anup Charles, Mohammad Zahid Hossain, Prokash Sanki & Subhankar Bhattacharya

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  1. Mohd. Shahbaaz Khan
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  2. Kanak Narayan Bhattacharya
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  3. Anup Charles
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  4. Mohammad Zahid Hossain
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  5. Prokash Sanki
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  6. Subhankar Bhattacharya
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Correspondence to Mohd. Shahbaaz Khan.

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Khan, M.S., Bhattacharya, K.N., Charles, A. et al. Free floating ball thrombus of left atrium developing late after closed mitral commissurotomy - a case report. Indian J Thorac Cardiovasc Surg 28, 261–262 (2012). https://doi.org/10.1007/s12055-012-0167-z

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  • DOI: https://doi.org/10.1007/s12055-012-0167-z

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