A completely asymptomatic 78-year-old woman with rheumatic mitral stenosis was incidentally found to have a large, free-floating left atrial thrombus despite therapeutic anticoagulation, which was successfully treated with surgical removal.
Case Report (n=1)
No
This case highlights the critical role of routine echocardiographic surveillance in patients with rheumatic mitral stenosis and atrial fibrillation, as potentially fatal free-floating left atrial thrombi can develop asymptomatically despite therapeutic anticoagulation.
Yilmaz et al. (Sun,) conducted a case report in Rheumatic Mitral Stenosis and Free-Floating Left Atrial Thrombus (n=1). Surgical removal of thrombus, mitral valve replacement, and tricuspid ring annuloplasty was evaluated. A completely asymptomatic 78-year-old woman with rheumatic mitral stenosis was incidentally found to have a large, free-floating left atrial thrombus despite therapeutic anticoagulation, which was successfully treated with surgical removal.