Key result
Chronic severe mitral stenosis secondary to rheumatic heart disease can lead to the formation of multiple giant left atrial thrombi.
Demonstrates a rare echocardiographic finding of multiple giant left atrial thrombi in chronic severe mitral stenosis.
Raises awareness of atypical thrombi in rheumatic mitral stenosis; hypothesis-generating for embolic risk assessment.
Rheumatic Heart Disease (RHD) is rarely seen in developed countries but still is a common cause of Mitral valve Stenosis (MS) in the developing world. This case demonstrates unusual echocardiographic images of multiple giant Left Atrial (LA) thrombi as a consequence of chronic severe MS.
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Victor et al. (2017) studied this question. Chronic severe mitral stenosis secondary to rheumatic heart disease can lead to the formation of multiple giant left atrial thrombi.
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