Free-floating left atrial ball thrombus following mitral valve replacement

Timothy Chen, Thierry H. LeJemtel, Jose Garcia, Garet M. Gordon, Daniel M. Spevack

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

We report the case of a 51-year-old woman who underwent mitral valve replacement for prolapse with severe regurgitation, depressed ejection fraction, and atrial fibrillation. Two weeks post-operatively, a transesophageal echocardiogram was performed for bacteremia. The patient was found incidentally to have a large free-floating ball thrombus in the left atrium. The patient was managed with anticoagulation because of the high-risk nature of repeat surgery. One month following diagnosis, the patient still had persistent thrombus in the left atrium seen on transthoracic echocardiography despite therapeutic anticoagulation. Free-floating ball thrombus is a rare and dramatic finding seen on echocardiography in patients with mitral valve disease.

Original languageEnglish (US)
Pages (from-to)438-440
Number of pages3
JournalEchocardiography
Volume22
Issue number5
DOIs
StatePublished - May 1 2005

Keywords

  • Anticoagulation
  • Atrium
  • Mitral
  • Prosthetic
  • Thrombus
  • Valve

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Chen, T., LeJemtel, T. H., Garcia, J., Gordon, G. M., & Spevack, D. M. (2005). Free-floating left atrial ball thrombus following mitral valve replacement. Echocardiography, 22(5), 438-440. https://doi.org/10.1111/j.1540-8175.2005.04060.x