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A Ball Valve Thrombus in a Young Obese Male With Hyperlipidemia

Dibyasundar Mahanta1, Debasish Das1, Debasis Acharya1

  • 1Cardiology, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

Cureus
|October 6, 2023
PubMed

Insights

A rare ball valve thrombus formed in the left atrium of an obese patient due to dyslipidemia. This case highlights a novel cause for this cardiac condition, distinct from typical rheumatic mitral stenosis.

Area of Science:

  • Cardiology
  • Pathology

Background:

  • Ball valve thrombus is a recognized complication, commonly associated with rheumatic mitral stenosis.
  • It can also occur in patients post-mitral valve replacement, restrictive cardiomyopathy, and rarely as left atrial myxoma.
  • Right atrial thrombi have been noted in intensive care and cancer patients.

Observation:

  • The study presents an exceptionally rare instance of a ball valve thrombus.
  • This thrombus was found in the left atrium of an obese individual.
  • Dyslipidemia was identified as the exclusive causative factor.

Findings:

  • The thrombus detached, obstructing mitral inflow and causing pulmonary edema.
  • Potential left ventricular outflow tract obstruction leading to syncope was observed.
  • Cerebral embolism resulting in hemiplegia was a noted consequence.

Implications:

  • This case expands the known etiology of ball valve thrombus formation.
  • It underscores the significant role of dyslipidemia in cardiac thrombus development.
  • Highlights the need for considering metabolic factors in unexplained cardiac events.

Keywords:
ballclotdyslipidemiahyperlipidemiaobesitythrombusvalve

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