Document Detail


Protruding thrombus in the left atrium found 7 years after percutaneous transvenous mitral commissurotomy: report of a case.
MedLine Citation:
PMID:  12560909     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 50-year-old man was transferred to our hospital for investigation of cerebellar infarction, thought to have been caused by cardiac thromboembolism. We assumed that the cardiac thromboembolism had occurred as a late complication of a percutaneous transvenous mitral commissurotomy (PTMC) performed 7 years earlier. An echocardiogram and thoracic computed tomography revealed a protruding thrombus in the left atrium and an emergency operation was performed. The protruding thrombus was found to originate from the scar that penetrated into the intra-atrial muscular septum caused by the PTMC. After removing the thrombus, the scar was covered with normal endothelium and the mitral valve was replaced with a 27-mm St. Jude Medical prosthetic valve. We think that the thromboembolism was caused by mitral valve restenosis, atrial fibrillation, and endothelial injury in the interatrial septum during PTMC. Therefore, long-term follow-up and appropriate medication is recommended after PTMC, since restenosis and thrombosis are likely to occur.
Authors:
Kouji Furukawa; Masachika Kuwabara; Eisaku Nakamura; Hironori Ninomiya; Toshio Onitsuka
Related Documents :
2791529 - Diagnostic reliability of m-mode echocardiography for detecting mitral valve prolapse i...
3968459 - Specificity of persistence of antibody to the streptococcal group a carbohydrate in rhe...
1527899 - Spherical liquefaction necrosis of mitral annular calcification in a chronic dialysis p...
10047649 - Potential mechanism of left ventricular outflow tract obstruction after mitral ring ann...
10221399 - Mitral valve replacement through a giant left atrial appendage.
508249 - The value of echocardiography in assessing the severity of mitral stenosis.
12051299 - A novel ultrasound technique to estimate right ventricular geometry during fibrillation.
20513729 - Clinicopathological profiles of progressive heart failure in hypertrophic cardiomyopathy.
22120679 - A review of causes and systemic approach to cardiac troponin elevation.
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgery today     Volume:  33     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2003  
Date Detail:
Created Date:  2003-01-31     Completed Date:  2003-06-09     Revised Date:  2006-08-03    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  55-7     Citation Subset:  IM    
Affiliation:
Department of Cardiovascular Surgery, Nobeoka Prefectural Hospital, 2-1-10 Shinkouji, Nobeoka, Miyazaki 882-0835, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Cerebral Infarction / etiology
Echocardiography
Heart Atria / pathology*
Heart Diseases / etiology*,  pathology
Humans
Male
Middle Aged
Mitral Valve Insufficiency / surgery*
Postoperative Complications*
Thromboembolism / complications,  etiology
Thrombosis / etiology*,  pathology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Techniques for treating aberrant arteries during resection of pulmonary sequestration by video-assis...
Next Document:  Surgical treatment of chronic intestinal pseudo-obstruction: report of three cases.