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Popescu BA, Radulescu B, Ginghina C. Free-floating left atrial thrombus formed in a few weeks in a patient with a normal mitral prosthesis. Heart, 93, p. 246, 2007.

Abstract: A 53-year-old woman with rheumatic heart disease (having had a Bjork-Shiley 29 mitral prosthesis and a Braille 31 tricuspid bioprosthesis implanted in 1980 and 1995, respectively), in permanent atrial fibrillation, was electively admitted to our department for redo cardiac surgery. Ten weeks previously she was diagnosed with severe tricuspid stenosis (bioprosthesis degeneration), in New York Heart Association functional class III heart failure and was scheduled for cardiac reintervention. At that time mitral prosthesis function was normal and the left atrium (LA) was free of thrombi at transoesophageal echocardiography (TOE) (video 1; to view video footage visit the Heart website—http://www.heartjnl.com/supplemental).

Three weeks later the patient suffered a gastrointestinal haemorrhage. Anticoagulation was stopped, blood products were administered, her condition stabilised and anticoagulation was resumed, but the international normalised ratio (INR) was not checked thereafter. At current admission she was clinically stable and no embolic events or clinical hints suggestive of . . .

Keywords: Images in cardiology

URL: http://heart.bmj.com/cgi/reprint/93/2/246

Posted by Bogdan Alexandru Popescu

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