Why the study?
Can coronary arteriography demonstrate left atrial thrombi in patients with mitral stenosis?
Can coronary arteriography demonstrate left atrial thrombi in patients with mitral stenosis?
Coronary arteriography may occasionally demonstrate left atrial thrombi via abnormal neovascularity in the left atrial appendage in patients with mitral stenosis.
Hypothesis-generating for coronary arteriography detection of left atrial thrombi in mitral stenosis; prospective validation required before clinical adoption.
Abnormal vascularity in the region of the left atrial appendage was demonstrated by coronary arteriography in 5 patients with mitral stenosis. Subsequently, three of these patients proceeded to operation, and left atrial thrombi were confirmed in all three cases. Neovascularity must be differentiated from congenital fistulae, tumours, and coronary artery disease. Thrombus in the left atrial appendage is difficult to diagnose even with the use of cross-sectional echocardiography and may occasionally be demonstrated by coronary arteriography.
No takes yet. Share an insight, caveat, or question.
Hubbard et al. (1987) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: