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Ann Thorac Surg 1976;21:103-106
© 1976 The Society of Thoracic Surgeons

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Articles

Massive Left Atrial Thrombus Complicating Mitral Stenosis with Atrial Fibrillation: Results of Surgical Treatment

From the Departments of Cardiothoracic Surgery and Cardiology, Christian Medical College Hospital, Vellore, India

Accepted for publication June 5, 1975.

^* Address reprint requests to Dr. John, Department of Cardiothoracic Surgery, Christian Medical College Hospital, Vellore 632004, India

Thirty-five patients with massive atrial thrombus complicating mitral stenosis and atrial fibrillation were treated surgically. The mean age in this series is lower than that reported in the West. Furthermore, the incidence of preoperative embolic manifestations has been less frequent in our experience. We believe it is desirable to document the presence of a thrombus by selective left atrial cineangiography.

Surgical treatment was accomplished with an acceptable mortality. The vital role played by the use of low-molecular-weight dextran and early anticoagulation in decreasing the incidence of postoperative cerebral embolism is emphasized. Follow-up data in the survivors has shown excellent functional status with no late embolic phenomena in any subject.

This article has been cited by other articles:

				J. I. Gallo, B. Ruiz, and C. M. G. Duran A Safe Technique for Removal of Massive Left Atrial Thrombus Ann. Thorac. Surg., March 1, 1981; 31(3): 283 - 284. [Abstract] [PDF]

				S. John, W. J. Perianayagam, K. A. Abraham, P. S. Jairaj, S. Krishnaswami, I. P. Sukumar, and G. Cherian Restenosis of the Mitral Valve: Surgical Considerations and Results of Operation Ann. Thorac. Surg., April 1, 1978; 25(4): 316 - 321. [Abstract] [PDF]