Giant left atrial thrombus successfully treated with anticoagulation.
A giant left atrial mass (6 cm x 4 cm) was visualised on a transoesophageal echocardiogram in an elderly woman who had a history of nonvalvular atrial fibrillation. The surgical removal of the mass, presumed to be a thrombus, was declined by the patient, and oral anticoagulation with warfarin was initiated. After eight weeks of anticoagulation, a repeat echocardiogram demonstrated complete resolution of the mass, without systemic embolisation.
Marcu
Constantin B
CB
Section of Cardiology, P-207, Hospital of Saint Raphael, Yale University, 1450 Chapel St., New Haven, CT 06511, USA. bmarcu@srhs.org
Kramer
Clifford
C
Donohue
Thomas J
TJ
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use*; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D006325:Heart Atria; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D012720:Severity of Illness Index; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*
D000925:Anticoagulants