[A successful removal of a left atrial massive ball thrombus caused by mitral stenosis].
A 66-year-old female with a mitral stenosis and a left atrial massive ball thrombus is presented. She was admitted due to a transient right hemiplegia and a speech disturbance. This thrombus had been detected preoperatively by an echocardiogram and a left atriography. A mitral valve replacement using a Björk-Shiley valve 27 mm, accompanied with the removal of the thrombus was performed. The ball thrombus was dark red, 55 x 35 x 32 mm in size and 15 g in weight. After the surgery, the patient progressed well. Because of the high frequency of peripheral embolism and of sudden death, a left atrial ball thrombus should be removed immediately.
Noda
H
H
First Department of Surgery, Yamaguchi University School of Medicine.
Mori
F
F
Miyamoto
M
M
Tsuboi
H
H
Katoh
T
T
Suzuki
K
K
Esato
K
K
Furutani
Y
Y
Ogawa
H
H
Matsuzaki
M
M
D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000209:etiology / Q000601:surgery*; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications*; D013927:Thrombosis / Q000209:etiology / Q000601:surgery*