title: [Cauliflower-like giant left atrial thrombus successfully treated by anticoagulants without systemic complication: a case report].
abstract: A 64-year-old woman with hypertension presented with a left atrial giant mass during the treatment of congestive heart failure. She was admitted to our hospital for intensive treatment. Transesophageal echocardiography demonstrated a cauliflower-like, large (3 x 2 cm), mobile echogenic mass attached to the left atrial wall. There were no signs of systemic embolism. Anticoagulant therapy was started. Repeated echocardiography showed the mass was reduced gradually and had diminished on the 10th day. She remained asymptomatic during the anticoagulant therapy. The diagnosis was thrombus based on the response to treatment. Surgical removal should be considered for such a large thrombus, but the present case of giant thrombus was successfully treated by anticoagulants without systemic complication.
authors.affiliation: Division of Cardiovascular Medicine, National Cardiovascular Center, Fujishiro-dai 5-7-1, Suita, Osaka 565-8565.
authors.forename: Chinami
authors.initials: C
authors.lastname: Ogata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Nakatani
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Yasumura
authors.forename: Masafumi
authors.initials: M
authors.lastname: Kitakaze
authors.forename: Masakazu
authors.initials: M
authors.lastname: Yamagishi
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use*; D017548:Echocardiography, Transesophageal; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000473:pathology; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D008875:Middle Aged; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014859:Warfarin / Q000008:administration & dosage*
chemical_list: D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin