[Coronarography in the diagnosis of left atrial thrombosis]

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Updated: Oct 24, 2026

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
07:41

Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure

Published on: February 8, 2022

NikolićG, S Pervulov, M Draganić

    Vojnosanitetski Pregled
    |March 4, 1999
    PubMed

    Insights

    Coronary angiography can help diagnose left atrial thrombosis in mitral valve disease patients. While sensitive, its high specificity suggests it

    Area of Science:

    • Cardiovascular Medicine
    • Diagnostic Imaging

    Background:

    • Left atrial thrombosis is a common complication in patients with mitral valve defects.
    • Systemic embolism is a significant risk associated with left atrial thrombus.
    • Echocardiography is the standard diagnostic tool for left atrial thrombosis.

    Purpose of the Study:

    • To evaluate the diagnostic performance of coronary angiography for left atrial thrombosis.
    • To compare coronary angiography findings with intraoperative observations in mitral valve disease patients.

    Main Methods:

    • Retrospective analysis of 60 operated patients with mitral valve disease.
    • Preoperative coronary angiography performed on all patients.
    • Intraoperative assessment for the presence of left atrial thrombus.

    Main Results:

    • Left atrial thrombus was confirmed intraoperatively in 13 patients.
    • Coronary angiography detected thrombus in 9 of these 13 patients (sensitivity 69%).
    • Angiography showed a high specificity (97%) and accuracy (90%) for diagnosing left atrial thrombosis.

    Conclusions:

    • Coronary angiography demonstrates high specificity and accuracy in diagnosing left atrial thrombosis.
    • While sensitive, coronary angiography can miss some cases of left atrial thrombus.
    • Findings suggest coronary angiography is a valuable, albeit not perfect, diagnostic tool for this condition.

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