Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement
We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during wh...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2019/6531890 |
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| author | Kanako Akamatsu Takahide Ito Kazushi Sakane Yumiko Kanzaki Koichi Sohmiya Masaaki Hoshiga |
| author_facet | Kanako Akamatsu Takahide Ito Kazushi Sakane Yumiko Kanzaki Koichi Sohmiya Masaaki Hoshiga |
| author_sort | Kanako Akamatsu |
| collection | DOAJ |
| description | We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation. Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an even rarer finding in case of appendage thrombi coexisting. |
| format | Article |
| id | doaj-art-fd67f3d16a6243b1bd84aff80d782653 |
| institution | OA Journals |
| issn | 2090-6404 2090-6412 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-fd67f3d16a6243b1bd84aff80d7826532025-08-20T02:22:40ZengWileyCase Reports in Cardiology2090-64042090-64122019-01-01201910.1155/2019/65318906531890Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve ReplacementKanako Akamatsu0Takahide Ito1Kazushi Sakane2Yumiko Kanzaki3Koichi Sohmiya4Masaaki Hoshiga5Department of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanDepartment of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanDepartment of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanDepartment of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanDepartment of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanDepartment of Cardiology, Osaka Medical College, Takatsuki, Osaka, JapanWe reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation. Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an even rarer finding in case of appendage thrombi coexisting.http://dx.doi.org/10.1155/2019/6531890 |
| spellingShingle | Kanako Akamatsu Takahide Ito Kazushi Sakane Yumiko Kanzaki Koichi Sohmiya Masaaki Hoshiga Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement Case Reports in Cardiology |
| title | Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement |
| title_full | Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement |
| title_fullStr | Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement |
| title_full_unstemmed | Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement |
| title_short | Left Atrial Ball-Shaped Thrombus with Concomitant Biatrial Appendage Thrombi in a Patient with Prior Mitral Valve Replacement |
| title_sort | left atrial ball shaped thrombus with concomitant biatrial appendage thrombi in a patient with prior mitral valve replacement |
| url | http://dx.doi.org/10.1155/2019/6531890 |
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