Author/Authors :
Akamatsu, Kanako Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan , Ito, Takahide Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan , Sakane, Kazushi Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan , Kanzaki, Yumiko Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan , Sohmiya, Koichi Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan , Hoshiga, Masaaki Department of Cardiology - Osaka Medical College, Takatsuki, Osaka, Japan
Abstract :
We reported a 67-year-old woman in whom large atrial thrombi were found by chance during discontinuation of therapeutic
anticoagulation. The patient, with a history of mitral valve replacement surgery, had stopped anticoagulation for months
because of intractable gastrointestinal bleeding, during which she was found to have 3 large thrombi in the atria on
transesophageal echocardiography: left atrial free-floating ball-shaped thrombus, left atrial appendage thrombus, and right atrial
appendage thrombus. One month following diagnosis, she still had the free-floating thrombus despite adequate anticoagulation.
Free-floating ball-shaped thrombus is a rare finding observed on echocardiography in patients with mitral valve disease and an
even rarer finding in case of appendage thrombi coexisting.
Keywords :
Left Atrial Ball-Shaped , Thrombus , Biatrial Appendage Thrombi , Prior Mitral , Valve Replacement
