title: Large left atrial thrombus after mitral valve replacement: how to treat?
abstract: An 87-year-old lady, known to have permanent atrial fibrillation, underwent tissue mitral valve replacement at our institution. At the two-year follow-up, echocardiography revealed a large left atrial thrombus attached to the anterolateral wall and the mouth of the left atrial appendage remnant. The patient was treated with warfarin. One year later, the mass had fully resolved, thus avoiding the need for high-risk redo surgery.
authors.affiliation: Department of Cardiothoracic Surgery, King’s College Hospital, Denmark Hill, London SE5 9RS, UK. hkhan76@hotmail.com
authors.forename: Habib
authors.initials: H
authors.lastname: Khan
authors.forename: Sanjay
authors.initials: S
authors.lastname: Chaubey
authors.forename: Alexander
authors.initials: A
authors.lastname: Hill
authors.forename: Jane
authors.initials: J
authors.lastname: Fisher
authors.forename: Olaf
authors.initials: O
authors.lastname: Wendler
mesh_terms: D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use*; D005260:Female; D006325:Heart Atria; D006331:Heart Diseases / Q000188:drug therapy* / Q000209:etiology*; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D013927:Thrombosis / Q000188:drug therapy* / Q000209:etiology*
chemical_list: D000925:Anticoagulants