Key result
Urgent surgery successfully treats large mobile LA thrombus complicating severe MS and AF despite anticoagulation.
Why the study?
While left atrial appendage thrombi are common in severe mitral stenosis with atrial fibrillation, large mobile left atrial thrombi are rare and life-threatening conditions.
Case Report (n=1)
Urgent surgical intervention is crucial for saving patients with large mobile left atrial thrombi complicating severe mitral stenosis.
Answers are grounded in this paper and cite their sources.
Supports urgent surgery for mobile LA thrombus in severe MS with AF despite anticoagulation; leaves open optimal strategies pending larger studies.
CASE SUMMARY: Left atrial appendage thrombus is commonly encountered in patients with severe mitral stenosis with atrial fibrillation. However, a large mobile left atrial thrombus is a rare but life-threatening condition. We report a case of severe mitral stenosis with atrial fibrillation in a patient who developed a large mobile left atrial thrombus despite anticoagulation. TAKE-HOME MESSAGES: Prompt diagnosis and urgent surgery played a crucial role in saving the patient from serious, potentially life-threatening complications. This case highlights the importance of maintaining an optimal international normalized ratio, early detection, and timely surgery for a better outcome.
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Ansari et al. (2026) conducted a case report in Severe mitral stenosis with atrial fibrillation and large mobile left atrial thrombus (n=1). Urgent surgery was evaluated. Prompt diagnosis and urgent surgery successfully treated a patient with a large mobile left atrial thrombus complicating severe mitral stenosis and atrial fibrillation despite anticoagulation.
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