A fatal case of large ball valve thrombus in the left atrium in a young girl
نویسندگان
چکیده
of breathlessness for the past 5 years. On examination, the pulse rate was 90/min, regular with frequent ectopics, and BP was 90/50 mmHg. On cardiovascular examination, S1 and P2 were loud with mid diastolic murmur (MDM), pan systolic murmur (PSM) and early diastolic murmur (EDM) heard. Electrocardiography (ECG) showed normal sinus rhythm (NSM) with huge P wave. Echocardiography examination revealed severe mitral stenosis (MS) (mitral valve area (MVA): 0.65 cm by planimetry, Fig. 1A; a mean gradient of 33 mmHg across mitral valve, Fig. 1B), severe pulmonary artery hypertension (PAH), severe tricuspid regurgitation (TR), significant tricuspid stenosis (TS), severe aortic regurgitation (AR) and mild pulmonary regurgitation (PR). There was a large ball-shaped left atrium (LA) thrombus (3.65!3.55 cm), which was freely mobile and intermittently obstructing mitral orifice (Fig. 2A and B; Videos 1 and 2). The patient was immediately referred for open mitral commissurotomy/mitral valve replacement (OMC/MVR), aortic valve replacement (AVR), tricuspid valve repair and LA clot removal.
منابع مشابه
Sudden Cardiac Death Caused by an Obstructive Left Atrial Ball Thrombus
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