[Large thrombus in the left atrium and rheumatic mitral stenosis. Value of cardiac imaging].
Thromboses in the left atrium, which are a commonplace complication of mitral stenoses with major dilatation of the left atrium lead to a major risk of systemic embolism. It is important to discover them, because they constitute a contraindication to mitral valvuloplasty. The authors report the case of a large left intra-atrial thrombus complicating a pure, tight, mitral stenosis. They also highlight the value of new medical imaging techniques in cardiology: chest CT scan, nuclear magnetic resonance and cardiac scintigraphy. Subsequently, transesophageal cardiac ultrasound, not available in France at the time for this patient, has become the reference method for visualizing and detecting left intra-atrial thrombi.
Acar
P
P
Service de Cardiologie, CH Gilles de Corbeil, Corbeil-Essonnes.
Lardoux
H
H
Pezzano
M
M
Gandjbakhch
I
I
Bleinc
D
D
Louvard
Y
Y
D000368:Aged; D015150:Echocardiography, Doppler / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008279:Magnetic Resonance Imaging; D008946:Mitral Valve Stenosis / Q000150:complications* / Q000601:surgery; D012214:Rheumatic Heart Disease / Q000150:complications*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed
Volumineux thrombus intra-auriculaire gauche et sténose mitrale rhumatismale. Intérêt de l'imagerie cardiaque.