Left Atrial Free-Floating Ball Thrombus Moving from the Left Appendage.
10.4326/jjcvs.31.356
- VernacularTitle:左心耳より遊離する過程を観察しえた僧帽弁置換術後の左房内球状血栓の１例
- Author:
Hirotsugu Hamamoto
;
Shinji Miyamoto
;
Hirohumi Anai
;
Hidenori Sako
;
Eriko Iwata
;
Osamu Shigemitsu
;
Tetsuo Hadama
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
2002;31(5):356-358
- CountryJapan
- Language:Japanese
-
Abstract:
A free-floating ball thrombus in the left atrium is a rare occurrence. Few patients who developed a ball thrombus after mitral valve replacement have been reported. Our patient was a 58-year-old man who had undergone mitral valve replacement in 1981. Since bleeding gastric cancer had been diagnosed anticoagulant therapy had been 4 days before admission. On admission, echocardiography revealed a large thrombus in the left appendage. First, he underwent total gastrectomy for gastric cancer. After the operation, he developed aspiration pneumonia, and was intubated. We observed that a large thrombus had moved from the left appendage to the left atrium. Emergency operation was successfull.
