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Infection of left atrial thrombus associated with mitral stenosis: A case report

H Okayama1, S Kawasaki, Y Takagaki

  • 1Departments of Cardiology, Kitaishikai Hospital, Ozu, Ehime, Japan.

Chest
|April 18, 2000
PubMed

Insights

This case report details the first instance of an infected left atrial thrombus. Prompt surgical intervention successfully treated this rare complication of intracardiac thrombus in a patient with mitral stenosis.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Intracardiac thrombus formation is a known complication in patients with conditions such as mitral stenosis.
  • Bacteremia can lead to systemic infections, but intracardiac infection of thrombi is rare.

Observation:

  • A 65-year-old male patient with mitral stenosis presented with an infected left atrial thrombus.
  • The infection was caused by Escherichia coli.

Findings:

  • The infected left atrial thrombus was successfully treated with surgical resection.
  • This represents the first reported case of its kind.

Implications:

  • Infective endocarditis and intracardiac thrombus should be considered in patients with bacteremia.
  • Early diagnosis and surgical management are crucial for favorable outcomes in such complex cases.

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