Key result
Rheumatic mitral stenosis is associated with left atrial thrombus formation, necessitating careful screening of the entire left atrium during perioperative transesophageal echocardiography.
Highlights the importance of comprehensive left atrial imaging during perioperative transesophageal echocardiography to detect thrombi outside the appendage in patients with rheumatic mitral stenosis.
Screen entire LA on perioperative TEE in rheumatic MS; leaves open prospective validation of detection protocols.
Rheumatic mitral stenosis is often associated with thrombus formation in the left atrium (LA), especially in patients with atrial fibrillation. Although thrombus can occur anywhere within the LA, the most common site is the left atrial appendage. Therefore, it is important to carefully screen the entire LA during perioperative transesophageal echocardiography to exclude thrombus.
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Shringarpure et al. (2018) studied this question. Rheumatic mitral stenosis is associated with left atrial thrombus formation, necessitating careful screening of the entire left atrium during perioperative transesophageal echocardiography.
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