title: [Postural changes during echocardiography. Is this manoeuver necessary in the differential diagnosis of fixed and free floating thrombus?].
abstract: A case of a 62 year-old woman with mitral stenosis and thrombosis of the left atrium diagnosed by two-dimensional echocardiography (2D-Echo) is reported. During the procedure, postural changes were performed and characterized the thrombus as floating one. The postural changes during 2D-echo examination allows differential diagnosis among fixed and free floating atrial thrombus. Such postural manoeuvres are also important in evaluating prognosis and therapeutic management of mitral stenosis.
authors.affiliation: Centro de Cardiologia Não Invasiva-São Paulo, SP.
authors.forename: S B
authors.initials: SB
authors.lastname: Tatani
authors.forename: C G
authors.initials: CG
authors.lastname: Ghefter
authors.forename: C E
authors.initials: CE
authors.lastname: Silva
authors.forename: M A
authors.initials: MA
authors.lastname: Gil
authors.forename: J
authors.initials: J
authors.lastname: Ortiz
mesh_terms: D003328:Coronary Thrombosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D004452:Echocardiography / Q000379:methods*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging*; D011187:Posture; D011379:Prognosis
vernacular_title: Mudanças posturais durante realização do ecocardiograma. Manobra obrigatória no diagnóstico diferencial entre trombos fixos e flutuantes?