A giant and double-walled left atrial ball thrombus complicating a mitral stenosis: case report-a truck tire into the heart.

ABSTRACT:

Background

High thromboembolic risk associated with rheumatic mitral stenosis has been well established, especially in concomitant atrial fibrillation; however, the presence of left atrium ball thrombus is an uncommon finding.

Case summary

A 75-year-old woman with a history of mild rheumatic mitral stenosis was admitted to Emergency Department with cardiogenic shock and high ventricular rate atrial fibrillation. Emergency electrical cardioversion was performed-before trans-oesophageal echocardiography (TOE)-due to haemodynamic deterioration which restored sinus rhythm.Transthoracic echocardiography (TTE) revealed severe reduction of left ventricular ejection fraction (LVEF: 15%), severe rheumatic mitral stenosis and a large, perfectly rounded mass, situated at the ostium of

SUBMITTER: Selimi A 

PROVIDER: S-EPMC9709626 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature