Spectrum of left atrial thrombus in rheumatic heart disease.

To cite: Mahla H, Harlalka KK, Bhairappa S, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014204370 DESCRIPTION We describe six patients with rheumatic heart disease involving mitral valve with predominant mitral stenosis. Figures 1–6 and videos 1–6 show the spectrum of left atrial thrombus in rheumatic heart disease. All patients had severe mitral stenosis with functional class III symptoms. All patients had atrial fibrillation. The patient in figure 1 (video 1) had left atrial appendage (LAA) thrombus. This patient underwent successful balloon mitral valvotomy (BMV). The patient in figure 2 (video 2) had LAA thrombus protruding into the left atrial cavity. This patient did well after BMV. The patient in figure 3 (video 3) had thrombus in the left atrial roof but above the plane of fossa ovalis with a good result of BMV. Figure 4 (video 4) shows