[Left atrial thrombi manifesting clinically as an annular thrombus]
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Vutreshni Bolesti
|January 1, 1978
Insights
A living patient was diagnosed with an annular thrombus causing mitral stenosis. Post-mortem examination revealed two thrombi obstructing the mitral valve, mimicking the clinical presentation.
Area of Science:
- Cardiology
- Pathology
Background:
- Mitral stenosis diagnosis can be challenging.
- Cardiac thrombi can present with varied clinical pictures.
Observation:
- A case of a living patient diagnosed with left atrial annular thrombus and pure mitral stenosis is presented.
- Necropsy revealed two thrombi, one mobile, near each other.
Findings:
- The thrombi were found to completely obstruct the mitral opening.
- The pathological findings explained the clinical presentation of mitral stenosis.
Implications:
- This case highlights the importance of considering thrombus as a cause of mitral stenosis.
- Accurate diagnosis requires integrating clinical, imaging, and pathological findings.
Abstract:
The authors present a case diagnosed while still living, as an annular thrombus in the left atrium with the presence of a "pure" mitral stenosis. At necropsy, two thrombi were found, one of them "traveling", situated very close to each other, providing conditions for a complete obstruction of the mitral opening and imitating the respective clinical picture.