A Ball Valve Thrombus in a Young Obese Male With Hyperlipidemia

A ball valve thrombus is a common entity in rheumatic mitral stenosis where large clot forms the left atrial appendage, detaches from swirls atrium clockwise manner, obstructs inflow producing cyclic acute pulmonary edema, and likely causes ventricular outflow tract obstruction transient syncope or embolism to brain dense hemiplegia. Besides stenosis, has been described post-mitral replacement patients restrictive cardiomyopathy. Left myxoma sometimes rocks across effect of thrombus. Right after prolonged parenteral nutrition through central line intensive care units carcinoma with cardiac metastasis. We report an extremely rare case obese individual dyslipidemia was sole triggering factor for formation atrium.