Gigantic Thrombus of the Left Atrium in Mitral Stenosis
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Key result
A 50-year-old female with severe mitral stenosis and a gigantic left atrium with a giant thrombus successfully underwent left atrial thrombectomy and mechanical valve implantation.
Population
1 female patient aged 50 years with severe rheumatic mitral stenosis, moderate aortic insufficiency…
Design
Case_report
Follow-up
11 postoperative days
Authors
Discussion
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Overview
Surgical thrombectomy plus valve replacement may be feasible in giant left atrial thrombus; hypothesis-generating and requires larger studies before wider adoption.
Study Design
Type
Case Report (n=1)
Multicenter
No
Structured PICO
P
Population
1 female patient aged 50 years with severe rheumatic mitral stenosis, moderate aortic insufficiency, permanent atrial fibrillation, gigantic left atrium, and gigantic left atrial thrombus, with a history of previous cerebrovascular stroke.
I
Intervention
Acute cardiac surgery including left atrial thrombectomy and implantation of mechanical aortic and mitral valves.
O
Outcome
Surgical outcome and postoperative clinical course.
This case report demonstrates the successful surgical management of a gigantic left atrial thrombus in a patient with severe rheumatic mitral stenosis, though complicated by a postoperative stroke.
Cite This Study
Hodžić et al. (2017) conducted a case report in Mitral stenosis with gigantic left atrium and gigantic thrombus (n=1). Left atrial thrombectomy and mechanical aortic and mitral valve implantation was evaluated. A 50-year-old female with severe mitral stenosis and a gigantic left atrium with a giant thrombus successfully underwent left atrial thrombectomy and mechanical valve implantation.
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