Balloon mitral commissurotomy for mitral stenosis after resolution of a large mobile left atrial thrombus by 2-year warfarin treatment.
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.
Chang
Wei-Chun
WC
Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.
Lin
I-Hsiang
IH
Ting
Chih-Tai
CT
Liang
Kae-Woei
KW
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*
D000925:Anticoagulants; D014859:Warfarin