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Free‐Floating Left Atrial Ball Thrombus Following Mitral Valve Replacement
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...
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Published in: | Echocardiography (Mount Kisco, N.Y.) N.Y.), 2005-05, Vol.22 (5), p.438-440 |
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container_issue | 5 |
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container_title | Echocardiography (Mount Kisco, N.Y.) |
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creator | Chen, Timothy LeJemtel, Thierry H. Garcia, Jose Gordon, Garet M. Spevack, Daniel M. |
description | 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. |
doi_str_mv | 10.1111/j.1540-8175.2005.04060.x |
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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.</description><identifier>ISSN: 0742-2822</identifier><identifier>EISSN: 1540-8175</identifier><identifier>DOI: 10.1111/j.1540-8175.2005.04060.x</identifier><identifier>PMID: 15901298</identifier><language>eng</language><publisher>350 Main St , Malden , MA 02148 , USA , and PO Box 1354, Garsington Rd , Oxford OX4 2DQ , UK and PO Box 378 Carlton South , 3053 Victoria , Australia: Blackwell Science Inc</publisher><subject>anticoagulation ; atrium ; Echocardiography ; Female ; Heart Atria - diagnostic imaging ; Heart Diseases - diagnostic imaging ; Heart Diseases - etiology ; Heart Valve Prosthesis Implantation - adverse effects ; Humans ; Middle Aged ; mitral ; Mitral Valve Insufficiency - surgery ; Postoperative Complications ; prosthetic ; Thrombosis - diagnostic imaging ; Thrombosis - etiology ; thrombus ; valve</subject><ispartof>Echocardiography (Mount Kisco, N.Y.), 2005-05, Vol.22 (5), p.438-440</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3690-5f43b02e2e4b69a43bd67a030113e6bc9d8abfc79894e321b53f3e1ba7387b793</citedby><cites>FETCH-LOGICAL-c3690-5f43b02e2e4b69a43bd67a030113e6bc9d8abfc79894e321b53f3e1ba7387b793</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15901298$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Timothy</creatorcontrib><creatorcontrib>LeJemtel, Thierry H.</creatorcontrib><creatorcontrib>Garcia, Jose</creatorcontrib><creatorcontrib>Gordon, Garet M.</creatorcontrib><creatorcontrib>Spevack, Daniel M.</creatorcontrib><title>Free‐Floating Left Atrial Ball Thrombus Following Mitral Valve Replacement</title><title>Echocardiography (Mount Kisco, N.Y.)</title><addtitle>Echocardiography</addtitle><description>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. 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Free‐floating ball thrombus is a rare and dramatic finding seen on echocardiography in patients with mitral valve disease.</description><subject>anticoagulation</subject><subject>atrium</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Heart Atria - diagnostic imaging</subject><subject>Heart Diseases - diagnostic imaging</subject><subject>Heart Diseases - etiology</subject><subject>Heart Valve Prosthesis Implantation - adverse effects</subject><subject>Humans</subject><subject>Middle Aged</subject><subject>mitral</subject><subject>Mitral Valve Insufficiency - surgery</subject><subject>Postoperative Complications</subject><subject>prosthetic</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Thrombosis - etiology</subject><subject>thrombus</subject><subject>valve</subject><issn>0742-2822</issn><issn>1540-8175</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNqNkMFOwzAMQCMEYmPwC6gnbi1O0jbtCY1pY0hDSGhwjZLOhU7pOpKObTc-gW_kS2i3Ca74Ylt-tqVHiEchoE1czwMaheAnVEQBA4gCCCGGYHNEur-DY9IFETKfJYx1yJlzcwAQlIanpEOjFChLky6ZjCzi9-fXyFSqLhav3gTz2uvXtlDGu1XGeNM3W5V65bxRZUy1bpmHorbN-EWZD_SecGlUhiUu6nNykivj8OKQe-R5NJwOxv7k8e5-0J_4GY9T8KM85BoYMgx1nKqmmcVCAQdKOcY6S2eJ0nkm0iQNkTOqI55zpFoJnggtUt4jV_u7S1u9r9DVsixchsaoBVYrJ2ORcME5bcBkD2a2cs5iLpe2KJXdSgqyNSnnshUmW2GyNSl3JuWmWb08_FjpEmd_iwd1DXCzB9aFwe2_D8vhYPy4q_kPcSuCbA</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Chen, Timothy</creator><creator>LeJemtel, Thierry H.</creator><creator>Garcia, Jose</creator><creator>Gordon, Garet M.</creator><creator>Spevack, Daniel M.</creator><general>Blackwell Science Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200505</creationdate><title>Free‐Floating Left Atrial Ball Thrombus Following Mitral Valve Replacement</title><author>Chen, Timothy ; LeJemtel, Thierry H. ; Garcia, Jose ; Gordon, Garet M. ; Spevack, Daniel M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3690-5f43b02e2e4b69a43bd67a030113e6bc9d8abfc79894e321b53f3e1ba7387b793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>anticoagulation</topic><topic>atrium</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Heart Atria - diagnostic imaging</topic><topic>Heart Diseases - diagnostic imaging</topic><topic>Heart Diseases - etiology</topic><topic>Heart Valve Prosthesis Implantation - adverse effects</topic><topic>Humans</topic><topic>Middle Aged</topic><topic>mitral</topic><topic>Mitral Valve Insufficiency - surgery</topic><topic>Postoperative Complications</topic><topic>prosthetic</topic><topic>Thrombosis - diagnostic imaging</topic><topic>Thrombosis - etiology</topic><topic>thrombus</topic><topic>valve</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Timothy</creatorcontrib><creatorcontrib>LeJemtel, Thierry H.</creatorcontrib><creatorcontrib>Garcia, Jose</creatorcontrib><creatorcontrib>Gordon, Garet M.</creatorcontrib><creatorcontrib>Spevack, Daniel M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Timothy</au><au>LeJemtel, Thierry H.</au><au>Garcia, Jose</au><au>Gordon, Garet M.</au><au>Spevack, Daniel M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Free‐Floating Left Atrial Ball Thrombus Following Mitral Valve Replacement</atitle><jtitle>Echocardiography (Mount Kisco, N.Y.)</jtitle><addtitle>Echocardiography</addtitle><date>2005-05</date><risdate>2005</risdate><volume>22</volume><issue>5</issue><spage>438</spage><epage>440</epage><pages>438-440</pages><issn>0742-2822</issn><eissn>1540-8175</eissn><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.</abstract><cop>350 Main St , Malden , MA 02148 , USA , and PO Box 1354, Garsington Rd , Oxford OX4 2DQ , UK and PO Box 378 Carlton South , 3053 Victoria , Australia</cop><pub>Blackwell Science Inc</pub><pmid>15901298</pmid><doi>10.1111/j.1540-8175.2005.04060.x</doi><tpages>3</tpages></addata></record> |
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source | Wiley-Blackwell Read & Publish Collection |
subjects | anticoagulation atrium Echocardiography Female Heart Atria - diagnostic imaging Heart Diseases - diagnostic imaging Heart Diseases - etiology Heart Valve Prosthesis Implantation - adverse effects Humans Middle Aged mitral Mitral Valve Insufficiency - surgery Postoperative Complications prosthetic Thrombosis - diagnostic imaging Thrombosis - etiology thrombus valve |
title | Free‐Floating Left Atrial Ball Thrombus Following Mitral Valve Replacement |
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