Yeungnam Univ J Med.  1993 Jun;10(1):237-244. 10.12701/yujm.1993.10.1.237.

A case of free-floating left atrial ball thrombus in mitral stenosis

• Kim YJ
• Lee TI
• Choi KW
• Kang SH
• Sin DG
• Kim YJ
• Shim BS
• Lee HW
• Hong EP

• KMID: 2154944
• DOI: http://doi.org/10.12701/yujm.1993.10.1.237

Abstract

A free-floating ball thrombus in the left atrium is a rare complication of the mitral valvular disease. A 53-year-old man was admitted for pain and paresthesia on both legs. On admission he had auscultatory sign of mitral stenosis and mitral regurgitation, and the roentgenogram of his chest revealed a slight pulmonary ve..ous congestion, enlargement of the pulmonary conus and cardiomegaly. Laboratory findings including complete blood counts, coagulation studies and blood chemistry were normal. An echocardiographic examination revealed a mitral stenosis and a free-floating ball thrombus in the left atrium. We performed the emergent open heart surgery for removal of the ball thrombus and mitral replacement successfuly with Duromedics 29 mm valve. The size of thrombus was 39 X 32 X 30 mm.

Keyword

Left atrial ball thrombus; Mitral stenosis; Open heart surgery

MeSH Terms

Blood Cell Count
Cardiomegaly
Chemistry
Conus Snail
Echocardiography
Estrogens, Conjugated (USP)
Heart Atria
Humans
Leg
Middle Aged
Mitral Valve Insufficiency
Mitral Valve Stenosis*
Paresthesia
Thoracic Surgery
Thorax
Thrombosis*
Estrogens, Conjugated (USP)