Case Report: Tetris Ball In The Left Atrium
A free-floating ball thrombus in the left atrium is a rare and serious medical problem that can cause fatal systemic emboli or block the flow of blood into the left ventricle, which usually ends in sudden death.This report discusses a case of a significant left atrial thrombus that was found to be f...
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Alanya Alaaddin Keykubat University
2025-04-01
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| Series: | Acta Medica Alanya |
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| Online Access: | https://dergipark.org.tr/tr/download/article-file/4431770 |
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| author | Uğur Altun Selçuk Ayhan |
| author_facet | Uğur Altun Selçuk Ayhan |
| author_sort | Uğur Altun |
| collection | DOAJ |
| description | A free-floating ball thrombus in the left atrium is a rare and serious medical problem that can cause fatal systemic emboli or block the flow of blood into the left ventricle, which usually ends in sudden death.This report discusses a case of a significant left atrial thrombus that was found to be free-floating in an enlarged left atrium. A 73-year-old male, who had experienced a cerebrovascular infarction and hemorrhage five days earlier, along with a history of chronic atrial fibrillation, was referred to the cardiology department to investigate the embolic cause. A transthoracic echocardiogram identified a free-floating ball thrombus. Thrombolytic therapy was not recommended because there were areas of bleeding within the cerebrovascular infarction and the patient had a high risk profile The individual, with several comorbid conditions, a Glasgow Coma Scale score of 8, and right-sided hemiplegia, was classified as high-risk by the cardiovascular surgery team. In spite of the potential for bleeding complications, treatment with warfarin and unfractionated heparin was started. Subsequent evaluations indicated that the thrombus did not diminish in size. We lost our patient due to progressive heart failure and cardiogenic shock while anticoagulant treatment was continuing. As a result, in such cases, it is important to determine the treatment according to the patient's general condition, glaskow coma score, embolization and the risk of fatal bleeding. |
| format | Article |
| id | doaj-art-8fde9ab3d049472fa967b9ffa3abbca6 |
| institution | OA Journals |
| issn | 2587-0319 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Alanya Alaaddin Keykubat University |
| record_format | Article |
| series | Acta Medica Alanya |
| spelling | doaj-art-8fde9ab3d049472fa967b9ffa3abbca62025-08-20T02:29:19ZengAlanya Alaaddin Keykubat UniversityActa Medica Alanya2587-03192025-04-01917881727Case Report: Tetris Ball In The Left AtriumUğur Altun0https://orcid.org/0009-0001-1363-5924Selçuk Ayhan1https://orcid.org/0000-0003-3482-5900ALANYA ALAADDIN KEYKUBAT UNIVERSITY, RESEARCH CENTER FOR CONTINUING EDUCATIONALANYA ALAADDIN KEYKUBAT UNIVERSITY, RESEARCH CENTER FOR CONTINUING EDUCATIONA free-floating ball thrombus in the left atrium is a rare and serious medical problem that can cause fatal systemic emboli or block the flow of blood into the left ventricle, which usually ends in sudden death.This report discusses a case of a significant left atrial thrombus that was found to be free-floating in an enlarged left atrium. A 73-year-old male, who had experienced a cerebrovascular infarction and hemorrhage five days earlier, along with a history of chronic atrial fibrillation, was referred to the cardiology department to investigate the embolic cause. A transthoracic echocardiogram identified a free-floating ball thrombus. Thrombolytic therapy was not recommended because there were areas of bleeding within the cerebrovascular infarction and the patient had a high risk profile The individual, with several comorbid conditions, a Glasgow Coma Scale score of 8, and right-sided hemiplegia, was classified as high-risk by the cardiovascular surgery team. In spite of the potential for bleeding complications, treatment with warfarin and unfractionated heparin was started. Subsequent evaluations indicated that the thrombus did not diminish in size. We lost our patient due to progressive heart failure and cardiogenic shock while anticoagulant treatment was continuing. As a result, in such cases, it is important to determine the treatment according to the patient's general condition, glaskow coma score, embolization and the risk of fatal bleeding.https://dergipark.org.tr/tr/download/article-file/4431770tetris topu trombüssol atriyummitral kapaktetris ball thrombusleft atriummitral valve |
| spellingShingle | Uğur Altun Selçuk Ayhan Case Report: Tetris Ball In The Left Atrium Acta Medica Alanya tetris topu trombüs sol atriyum mitral kapak tetris ball thrombus left atrium mitral valve |
| title | Case Report: Tetris Ball In The Left Atrium |
| title_full | Case Report: Tetris Ball In The Left Atrium |
| title_fullStr | Case Report: Tetris Ball In The Left Atrium |
| title_full_unstemmed | Case Report: Tetris Ball In The Left Atrium |
| title_short | Case Report: Tetris Ball In The Left Atrium |
| title_sort | case report tetris ball in the left atrium |
| topic | tetris topu trombüs sol atriyum mitral kapak tetris ball thrombus left atrium mitral valve |
| url | https://dergipark.org.tr/tr/download/article-file/4431770 |
| work_keys_str_mv | AT uguraltun casereporttetrisballintheleftatrium AT selcukayhan casereporttetrisballintheleftatrium |