Left atrial ball thrombus: echocardiographic features and clinical implications

Fraser, Alan Gordon, Angelini, G .D., Ikram, S. and Butchart, E. G. 1988. Left atrial ball thrombus: echocardiographic features and clinical implications. European Heart Journal 9 (6) , pp. 672-677.

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Abstract

The echocardiographic features of left atrial ball thrombus associated with mitral stenosis are reviewed, and some previously unpublished cross-sectional echocardiographic findings presented. In one patient who had a large free-floating ball thrombus there was variation in its echocardiographic appearance; the thrombus was removed uneventfully at surgery. In another patient who had a pedunculated but immobile ball thrombus, a stalk was identified which attached it to the inter-atrial septum; this patient died suddenly before surgery could be performed, due to detachment of the thrombus and obstruction of the mitral valve orifice. Cross-sectional echocardiography is clearly superior to M-mode imaging in the detection of atrial thrombi, and variable appearances may help differentiation of thrombus from myxoma. Whether or not a ball thrombus appears mobile, emergency thrombectomy and mitral valve replacement is indicated, because of the risk of obstruction of the mitral valve.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RZ Other systems of medicine
Publisher:	Oxford University Press
ISSN:	0195-668X
Related URLs:	http://eurheartj.oxfordjournals.org/
Last Modified:	04 Jun 2017 07:50
URI:	https://orca.cardiff.ac.uk/id/eprint/68568

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