title: Balloon mitral commissurotomy for mitral stenosis after resolution of a large mobile left atrial thrombus by 2-year warfarin treatment.
abstract: We report on a patient who was referred for percutaneous transvenous mitral commissurotomy for symptomatic mitral stenosis. However, transthoracic and transesophageal echocardiography both revealed a large mobile left atrial thrombus, occupying almost half of the left atrial body. Because the patient strongly declined surgical mitral treatment, he was administered warfarin for 2 years. Complete resolution of left atrial thrombus was confirmed by follow-up transesophageal echocardiography. Successful percutaneous transvenous mitral commissurotomy was undertaken without complications.
authors.affiliation: Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.
authors.forename: Wei-Chun
authors.initials: WC
authors.lastname: Chang
authors.forename: I-Hsiang
authors.initials: IH
authors.lastname: Lin
authors.forename: Chih-Tai
authors.initials: CT
authors.lastname: Ting
authors.forename: Kae-Woei
authors.initials: KW
authors.lastname: Liang
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D002404:Catheterization / Q000379:methods*; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000628:therapy*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014859:Warfarin / Q000627:therapeutic use*
chemical_list: D000925:Anticoagulants; D014859:Warfarin