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Related Concept Videos

Venous Thrombosis I: Introduction01:30

Venous Thrombosis I: Introduction

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Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
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Mitral Stenosis II: Clinical features and Diagnostic Tests01:23

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Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
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Mitral Valve Prolapse II: Assessment and Management01:22

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IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
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Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
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Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

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Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
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Pulmonary embolism (PE) occurs when a thrombus, fat or air embolus, amniotic fluid, or tumor tissue blocks one or more pulmonary arteries. These blockages originate in the venous system or the right side of the heart.EtiologyPE primarily arises from deep vein thrombosis (DVT) and other hypercoagulable states, such as inherited thrombophilias. Additional etiological factors include venous stasis, commonly seen in obesity, and endothelial injury from surgery and trauma. Less common causes include...
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Related Experiment Video

Updated: Dec 29, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Left Atrial "Pinball" Thrombus Causing Recurrent Syncope.

Nicholas Suraci1, Adrian Santana, Guillermo Garcia

  • 1Department of Anesthesiology, 4300 Alton Road, Miami Beach, FL 33140 USA. nicholas.suraci@gmail.com.

The Journal of Invasive Cardiology
|February 2, 2020
PubMed
Summary
This summary is machine-generated.

A large left atrial thrombus caused severe mitral stenosis and syncope in a 75-year-old woman. Surgical removal of the thrombus and mitral valve replacement successfully treated the condition.

Keywords:
cardiac imagingthrombusvalve obstruction

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Area of Science:

  • Cardiology
  • Cardiac Surgery

Background:

  • Mitral stenosis is a significant valvular heart disease.
  • Left atrial thrombus formation is a known complication of severe mitral stenosis.

Observation:

  • A 75-year-old female presented with syncope.
  • Transesophageal echocardiography revealed severe mitral stenosis.
  • A large (5 cm) free-floating left atrial thrombus was identified, intermittently obstructing the mitral valve.

Findings:

  • The left atrial thrombus was the cause of the severe mitral stenosis and the syncopal episode.
  • Successful surgical intervention involved thrombus removal and mitral valve replacement.

Implications:

  • Prompt diagnosis and surgical management are crucial for patients with obstructive left atrial thrombi and severe mitral stenosis.
  • This case highlights the importance of echocardiography in identifying cardiac masses and valvular dysfunction.
  • Mitral valve replacement can effectively restore cardiac function and prevent further embolic events.