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Updated: Aug 10, 2026

A Thrombotic Stroke Model Based On Transient Cerebral Hypoxia-ischemia
Published on: August 18, 2015
Transient cerebral ischemic attack and left atrial free-floating thrombus: a case report
A Abaci1, G Kabakci, L Tokgözoglu
1Department of Cardiology, Hacettepe University School of Medicine, Ankara, Turkey.
Insights
Rheumatic mitral stenosis can lead to free-floating left atrial thrombus, a condition confirmed during echocardiography and surgery. Successful surgical intervention resulted in a satisfactory patient recovery.
Area of Science:
- Cardiology
- Cardiac Surgery
Background:
- Rheumatic heart disease remains a significant cause of mitral stenosis globally.
- Left atrial thrombus formation is a known complication of mitral stenosis, posing embolic risks.
Observation:
- Echocardiography revealed a free-floating thrombus within the left atrium of a patient with rheumatic mitral stenosis.
- Intraoperative findings confirmed the presence of a free thrombus in the left atrium.
Findings:
- Surgical treatment was performed for the identified left atrial thrombus.
- The patient experienced a satisfactory postoperative recovery following the surgical intervention.
Implications:
- This case highlights the importance of echocardiographic evaluation for thrombus detection in mitral stenosis patients.
- Prompt surgical management of left atrial thrombi in this context can lead to favorable outcomes.
Abstract:
A patient with rheumatic mitral stenosis was found to have a free-floating thrombus in the left atrium during echocardiography. Subsequently, the patient underwent surgical treatment. At surgery, a free thrombus was found within the left atrium. The postoperative course of the patient was satisfactory.
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