title: Acute left atrial thrombus causing cardiogenic shock following mitral valve replacement: report of a case.
abstract: We report herein the rare case of a 53-year-old woman who developed cardiogenic shock due to an acute left atrial thrombus following replacement of the mitral valve. A definitive diagnosis was not able to be made using precordial echocardiography because of the broad, flat shape of the thrombus; however, transesophageal echocardiography imaged the thrombus in detail. The patient was initially stabilized by percutaneous cardiopulmonary support after which a thrombectomy was successfully performed.
authors.affiliation: Department of Surgery, Kobe University School of Medicine, Japan.
authors.forename: K
authors.initials: K
authors.lastname: Okada
authors.forename: C
authors.initials: C
authors.lastname: Yamashita
authors.forename: M
authors.initials: M
authors.lastname: Okada
authors.forename: T
authors.initials: T
authors.lastname: Ota
authors.forename: K
authors.initials: K
authors.lastname: Ataka
authors.forename: M
authors.initials: M
authors.lastname: Yoshida
authors.forename: H
authors.initials: H
authors.lastname: Nohara
authors.forename: T
authors.initials: T
authors.lastname: Azami
authors.forename: N
authors.initials: N
authors.lastname: Yoshimura
authors.forename: Y
authors.initials: Y
authors.lastname: Toyoda
mesh_terms: D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000601:surgery; D011183:Postoperative Complications; D012770:Shock, Cardiogenic / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging