[Free thrombus in the left atrium associated with mitral stenosis. Diagnostic and therapeutic aspects. Apropos of a case].
A patient with a history of transient cerebral ischemic episodes had two-dimensional echocardiographic findings consistent with mitral stenosis associated with a spherical free-floating left atrial thrombus. The patient was operated on in the next few days, performing a mitral commissurotomy, and the left atrial thrombus was removed, without intra- or postoperative complications. The patient was discharged from the hospital on an antiplatelet drug regimen. Free-floating left atrial thrombi are a very rare finding with an easy echocardiographic diagnosis. Prompt surgical treatment is mandatory because the risk of systemic embolization and sudden death are inherent in this entity.
Mesa
J M
JM
López de Sa
E
E
Plaza
I
I
Larrea
J L
JL
Moreno
I
I
Calvo
L
L
Sobrino
J A
JA
D004452:Echocardiography; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013927:Thrombosis / Q000175:diagnosis / Q000601:surgery*
Trombo libre en aurícula izquierda asociado a estenosis mitral. Aspectos diagnósticos y terapéuticos. A propósito de un caso.