Why the study?
Rheumatic mitral stenosis is frequently associated with intracardiac thrombus, but ball-shaped thrombi in the left atrium remain very rare.
Left atrial ball thrombus is a rare condition in rheumatic mitral stenosis that requires immediate surgical removal to avoid embolic complications and hemodynamic deterioration.
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Successful surgery for rare dual left atrial thrombi in rheumatic mitral stenosis; hypothesis-generating, should not yet change practice.
Valvular heart disease, and in particular, rheumatic mitral stenosis is frequently associated with intra-cardiac thrombus. Moreover, almost all types of thrombus can be founded in the left atrium whereas the ball shaped thrombus remains very rare. The following case report describes a successful surgical management of an unusual case with a concomitant left atrial free-floating ball thrombus and mural one in a patient who has rheumatic mitral stenosis with atrial fibrillation. However, this patient did not present any cerebral or peripheral embolic events. Left atrial ball thrombus is relatively a rare case. Once the diagnosis was made, the surgical removal should be done immediately to avoid embolic complications and deterioration of hemodynamics.
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Oughebbi et al. (2022) studied this question.
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