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Robert M. Kass
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Ann Thorac Surg 1985;39:566-568
© 1985 The Society of Thoracic Surgeons

Articles

Free-floating Ball Thrombus in the Left Atrium after Mitral Valve Replacement: Successful Surgical Management

Carlos Blanche, M.D., Aurelio Chaux, M.D.*, Robert M. Kass, M.D., Jeffrey Helfenstein, M.D., Gary Sugarman, M.D.

From the Division of Thoracic and Cardiac Surgery and the Division of Cardiology, Cedars-Sinai Medical Center, Los Angeles, CA

Accepted for publication July 20, 1984.

* Address reprint requests to Dr. Chaux, Division of Thoracic and Cardiac Surgery, Cedars-Sinai Medical Center, 8700 Beverly Blvd, Los Angeles, CA 90048

A free-floating ball thrombus in the left atrium is a rare clinical problem with potentially catastrophic consequences. Thus, early diagnosis and prompt surgical intervention are mandatory. Free ball-valve thrombus within the left atrium developed in a patient who had undergone mitral valve replacement with a Starr-Edwards prosthesis seven years previously. The diagnosis was accurately made by two-dimensional echocardiography and was followed by successful removal of a thrombus. A review of the literature is presented.




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Transient total occlusion of the mitral valve orifice by a free-floating left atrial ball thrombus
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