Free-Floating Left Atrial Thrombus with Recurrent cerebral Embolic Event Associated Mitral Stenosis
10.4250/jkse.1996.4.2.208
- Author:
Doo Il KIM
1
;
Dong Soo KIM
;
Kyung Sun LEE
Author Information
1. Department of Internal Medicine, College of Medicine, Inje University, Namsan Medical Clinic, Pusan, Korea.
- Publication Type:Case Report
- Keywords:
Free-folating left atrial thrombus;
Mitral stenosis
- MeSH:
Atrial Appendage;
Atrial Fibrillation;
Echocardiography;
Heart Atria;
Humans;
Mitral Valve;
Mitral Valve Stenosis;
Thrombosis
- From:Journal of the Korean Society of Echocardiography
1996;4(2):208-212
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In mitral valve disease, left atrial thrombus is a common finding, particularly in left atrial appendage in patients with atrial fibrillation. But free-floating thrombus is rare. Nevertheless, it is an important and potentially fatal complication because it can cause sudden arrest by obstucting the mitral orifice, or serious cerebral and peripheral embolic events. Therefore it is important to early detect such lesions. It usually occurs in the setting of a large, dilated left atrium with stagnant flow, commonly the result of severe rheumatic mitral stenosis and accompanying atrial fibrillation. We report the clinical and echocardiographic findings in a patient with left atrial free-floating thrombus who had two episodes of cerebral embolic event.
