| Silent embolism of a large pedunculated left atrial thrombus. | |
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MedLine Citation:
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PMID: 11974665 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with a left atrial thrombus are considered as being at high risk for thromboembolic events. Although embolization may be asymptomatic, embolic events related to large thrombi are usually clinically manifest and tend to be associated with a worse prognosis. We describe the very unusual case of a patient with atrial fibrillation in whom two-dimensional echocardiography revealed a large, pedunculated, highly mobile left atrial thrombus attached by a thin stalk to the interatrial septum. Because of the high risk of embolism the patient was submitted to urgent surgery. At surgery, only the stalk was found. No mass was visualized at intraoperative transesophageal echocardiography. The patient had an uneventful postoperative course without signs of embolism. Computed tomography of the brain did not reveal any cerebral infarction. |
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Authors:
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Moreno Cecconi; Marcello Manfrin; Alessandra Moraca; Veronica Cacitti; Epifanio Molini; Luigi Ferrini; Gian Piero Perna |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Italian heart journal : official journal of the Italian Federation of Cardiology Volume: 3 ISSN: 1129-471X ISO Abbreviation: Ital Heart J Publication Date: 2002 Mar |
Date Detail:
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Created Date: 2002-04-26 Completed Date: 2002-10-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 100909716 Medline TA: Ital Heart J Country: Italy |
Other Details:
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Languages: eng Pagination: 199-201 Citation Subset: IM |
Affiliation:
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Division of Cardiology, G.M. Lancisi Hospital, Italy. morcecconi@tiscalinet.it |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Atrial Fibrillation / complications Echocardiography Embolism / etiology* Female Heart Atria Heart Diseases / pathology* Humans Prognosis Thrombosis / pathology* |
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