title: Is the thrombus truly free-floating? A case report.
abstract: A free-floating thrombus in the left atrium is very rare in mitral stenosis. Such a thrombus can lead to sudden circulatory arrest and syncope or can cause severe cerebral or peripheral thromboembolic events. Clinical diagnosis is difficult, but left atrial thrombus should be suspected if patients with mitral stenosis and atrial fibrillation have intermittent or changing murmurs, emboli, or syncope. We describe the case of a patient with mild mitral stenosis under warfarin therapy, and a left atrial pedunculated thrombus discovered during the investigation for syncope attacks.
authors.affiliation: Selcuk University, Selcuklu Faculty of Medicine Cardiology Department, Konya, Turkey.
authors.forename: Kenan
authors.initials: K
authors.lastname: Demir
authors.forename: Ahmet
authors.initials: A
authors.lastname: Avci
authors.forename: Bulent Behlul
authors.initials: BB
authors.lastname: Altunkeser
authors.forename: Nevzat Serdar
authors.initials: NS
authors.lastname: Ugras
mesh_terms: D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000188:drug therapy; D003328:Coronary Thrombosis / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008946:Mitral Valve Stenosis / Q000150:complications / Q000188:drug therapy; D013575:Syncope / Q000150:complications / Q000188:drug therapy; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D014859:Warfarin
keywords: atrial fibrillation; free-floating thrombus; mitral stenosis; transesophageal echocardiography