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 Citations (Scopus)

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 2005

Fingerprint

Mitral Valve
Thrombosis
Heart Atria
Echocardiography
Mitral Valve Prolapse
Bacteremia
Reoperation
Atrial Fibrillation
Therapeutics

Keywords

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

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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

Free-floating left atrial ball thrombus following mitral valve replacement. / Chen, Timothy; LeJemtel, Thierry H.; Garcia, Jose; Gordon, Garet M.; Spevack, Daniel M.

In: Echocardiography, Vol. 22, No. 5, 05.2005, p. 438-440.

Research output: Contribution to journalArticle

Chen, T, LeJemtel, TH, Garcia, J, Gordon, GM & Spevack, DM 2005, 'Free-floating left atrial ball thrombus following mitral valve replacement', Echocardiography, vol. 22, no. 5, pp. 438-440. https://doi.org/10.1111/j.1540-8175.2005.04060.x
Chen, Timothy ; LeJemtel, Thierry H. ; Garcia, Jose ; Gordon, Garet M. ; Spevack, Daniel M. / Free-floating left atrial ball thrombus following mitral valve replacement. In: Echocardiography. 2005 ; Vol. 22, No. 5. pp. 438-440.
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