| Left Atrial Free-Floating Ball
Thrombus Moving from the Left Appendage |
(Department of Cardiovascular Surgery, Oita Medical
University, Oita, Japan)
| Hirotsugu Hamamoto |
Shinji Miyamoto |
Hirohumi Anai |
| Hidenori Sako |
Eriko Iwata |
Osamu Shigemitsu |
| Tetsuo Hadama |
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A free-floating ball thrombus in
the left atrium is a rare occurrence. Few patients who developed
a ball thrombus after mitral valve replacement have been reported.
Our patient was a 58-year-old man who had undergone mitral valve
replacement in 1981. Since bleeding gastric cancer had been diagnosed
anticoagulant therapy had been 4 days before admission. On admission,
echocardiography revealed a large thrombus in the left appendage.
First, he underwent total gastrectomy for gastric cancer. After
the operation, he developed aspiration pneumonia, and was intubated.
We observed that a large thrombus had moved from the left appendage
to the left atrium. Emergency operation was successfull.
Jpn. J. Cardiovasc. Surg. 31: 356-358 (2002) |
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