Key result
Syncope investigation reveals a pedunculated LA thrombus in a mild MS patient on warfarin.
Why the study?
Free-floating thrombus in the left atrium is very rare in mitral stenosis and difficult to diagnose clinically, especially in patients with mitral stenosis and atrial fibrillation presenting with syncope or embolic events.
Case Report (n=1)
Highlights the rare presentation of a left atrial pedunculated thrombus in a patient with mild mitral stenosis on warfarin, emphasizing the need to suspect LA thrombus in such patients presenting with syncope.
May support LA thrombus evaluation for syncope in mild MS on warfarin; single case leaves open broader risk assessment.
A free-floating thrombus in the left atrium is very rare in mitral stenosis. Such a thrombus can lead to sudden circulatory arrest and syncope or can cause severe cerebral or peripheral thromboembolic events. Clinical diagnosis is difficult, but left atrial thrombus should be suspected if patients with mitral stenosis and atrial fibrillation have intermittent or changing murmurs, emboli, or syncope. We describe the case of a patient with mild mitral stenosis under warfarin therapy, and a left atrial pedunculated thrombus discovered during the investigation for syncope attacks.
No takes yet. Share an insight, caveat, or question.
Demır et al. (2013) conducted a case report in Mitral stenosis and left atrial thrombus (n=1). Left atrial pedunculated thrombus was evaluated. A left atrial pedunculated thrombus was discovered in a patient with mild mitral stenosis on warfarin therapy during investigation for syncope attacks.
Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context: