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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
Main Authors: Chen, Timothy, LeJemtel, Thierry H., Garcia, Jose, Gordon, Garet M., Spevack, Daniel M.
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cited_by cdi_FETCH-LOGICAL-c3690-5f43b02e2e4b69a43bd67a030113e6bc9d8abfc79894e321b53f3e1ba7387b793
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container_title Echocardiography (Mount Kisco, N.Y.)
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creator Chen, Timothy
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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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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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