title: Left atrial free-floating ball thrombus in a case of hyperthrophic cardiomyopathy.
abstract: Left atrial free-floating ball thrombus is a rarely seen pathology in the absence or presence of mitral valve disease. This pathologic condition carries high risks of embolic complications and deterioration of hemodynamics. The case reported here is a 34-year-old woman who had been followed-up by another center with the diagnosis of hypertrophic cardiomyopathy (HCM) was admitted to our emergency department in cardiogenic shock due to left atrial free-floating ball thrombus partially obstructed the left ventricular inflow. Emergency surgery was undertaken to remove the ball mass, additionally septal myectomy and mitral valve replacement were performed. Pathologic examination of the mass confirmed the thrombus formation. This rare case of left atrial free floating ball thrombus associated with HCM is presented and current literature is reviewed.
authors.affiliation: Department of Cardiovascular Surgery, Adnan Menderes University Medical Faculty, Aydin 09100, Turkey. ugurcun@yahoo.com
authors.forename: Ugur
authors.initials: U
authors.lastname: Gurcun
authors.forename: Mehmet
authors.initials: M
authors.lastname: Boga
authors.forename: Erdem Ali
authors.initials: EA
authors.lastname: Ozkisacik
authors.forename: M Ismail
authors.initials: MI
authors.lastname: Badak
authors.forename: Berent
authors.initials: B
authors.lastname: Discigil
mesh_terms: D000328:Adult; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D003328:Coronary Thrombosis / Q000175:diagnosis* / Q000473:pathology; D017809:Fatal Outcome; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006439:Hemodynamics; D006801:Humans; D008943:Mitral Valve; D012770:Shock, Cardiogenic / Q000209:etiology; D016277:Ventricular Function, Left