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[Emergent operation of left atrial ball thrombus associated with mitral stenosis]
M Kuwabara1, T Onituka, K Nakamura
1Second Department of Surgery, Miyazaki Medical College, Japan.
Insights
A large, free-floating ball thrombus in the left atrium, associated with mitral stenosis, was successfully removed via open heart surgery. This intervention in a patient with prior stroke ensured an uneventful recovery.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
- Thrombosis Research
Background:
- A 71-year-old female patient presented with a history of cerebral infarction and arterial obstruction.
- The patient was diagnosed with a free-floating ball thrombus in the left atrium, coexisting with mitral stenosis.
Observation:
- A significant ball thrombus, measuring 4.8 x 4.0 x 3.0 cm, was identified within the left atrium.
- The thrombus was associated with significant mitral stenosis, indicating complex cardiac pathology.
Findings:
- An emergent open heart surgery was performed for the removal of the large ball thrombus.
- Mitral commissurotomy was concurrently performed to address the associated mitral stenosis.
Implications:
- Successful surgical intervention for large left atrial ball thrombus can lead to favorable outcomes.
- This case highlights the importance of timely surgical management for potentially embolic cardiac masses.
- Effective treatment of associated valvular disease is crucial for complete patient recovery.
Abstract:
A 71-year-old woman with old cerebral infarction and arterial obstruction was admitted with the diagnosis of a free floating ball thrombus in the left atrium associated mitral stenosis. The emergent open heart operation was performed for removal of ball thrombus and mitral commissurotomy. The size of ball thrombus was 4.8 x 4.0 x 3.0 cm. Postoperative course was uneventful.