Free-floating left atrial ball thrombus following mitral valve replacement

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

doi:10.1111/j.1540-8175.2005.04060.x

Free-floating left atrial ball thrombus following mitral valve replacement

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

Medicine

Research output: Contribution to journal › Article › peer-review

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 language	English (US)
Pages (from-to)	438-440
Number of pages	3
Journal	Echocardiography
Volume	22
Issue number	5
DOIs	https://doi.org/10.1111/j.1540-8175.2005.04060.x
State	Published - May 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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10.1111/j.1540-8175.2005.04060.x

Cite this

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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.",

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AU - LeJemtel, Thierry H.

AU - Garcia, Jose

AU - Gordon, Garet M.

AU - Spevack, Daniel M.

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AB - 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.

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KW - Mitral

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KW - Thrombus

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Free-floating left atrial ball thrombus following mitral valve replacement

Abstract

Keywords

ASJC Scopus subject areas

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