Successful dissolution of massive left atrial thrombus after the use of warfarin--a case report.
A case of rheumatic heart disease, mitral stenosis, large left atrium, and chronic atrial fibrillation is reported and discussed. This patient was shown, by means of two-dimensional echocardiography, to have a massive left atrial thrombus, and after the initiation of anticoagulation with warfarin, complete resolution of the clot was seen in less than two months. The use of two-dimensional echocardiography was valuable in the follow-up of this patient, and it is suggested that further prospective studies are necessary for better understanding the natural history of left atrial thrombus.
Cohen
A
A
Department of Medicine and Cardiology, St. Joseph's Hospital, Mt. Clemens, Michigan.
Larkins
C K
CK
D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications; D002908:Chronic Disease; D004452:Echocardiography; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006331:Heart Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications; D012074:Remission Induction; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014859:Warfarin / Q000627:therapeutic use*
D014859:Warfarin