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Ann Thorac Surg 2008;86:1011-1012. doi:10.1016/j.athoracsur.2008.02.099
© 2008 The Society of Thoracic Surgeons
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Case Reports

Missing Left Atrial Thrombus: Dislodgement or Artifact?

Kazuhiro Kurisu, MD*, Manabu Hisahara, MD, Yusuke Ando, MD

Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, Kitakyushu, Japan

Accepted for publication February 29, 2008.

* Address correspondence to Dr Kurisu, Department of Cardiovascular Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku, Kokurakita-ku, Kitakyushu, 802-0077, Japan (Email: byou-iryou-cvs{at}city.kitakyushu.lg.jp).

Patients with a left atrial thrombus are considered at high risk of thromboembolism. Surgical treatment is generally recommended. We experienced a case of a patient with a history of cerebral embolism related to chronic atrial fibrillation in whom, unexpectedly, no thrombi were found at thrombectomy. Although echocardiography is a useful method for detection of a thrombus in the left atrium, the possibility of a reverberation artifact should be routinely explored.






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