A case of mobile left atrial thrombus without mitral valve disease
Matsuyama, N.; Asada, K.; Kondou, K.; Kodama, T.; Minohara, S.; Hasegawa, Y.; Sawada, Y.; Okamoto, J.; Okamoto, K.; Sasaki, S.
Kyobu Geka. Japanese Journal of Thoracic Surgery 50(9): 793-795
1997
ISSN/ISBN: 0021-5252 PMID: 9259144 Document Number: 472372
A 70-year-old woman who had a left atrial thrombus without mitral valve disease was reported. On admission her electrocardiogram showed atrial fibrillation, but there was no cardiac murmur. Transthoracic echocardiogram revealed a dilated left atrium and an intact mitral valve, but did not detect any thrombus. Transesophageal echocardiogram, however, demonstrated the thrombus attaching to the left atrial appendage. Removal of the thrombus and maze procedure were performed at the same time. Although a pacemaker (DDDR mode) was required postoperatively, she spends uneventful daily life at two years after the surgery.