Document Detail


Silent embolism of a large pedunculated left atrial thrombus.
MedLine Citation:
PMID:  11974665     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Moreno Cecconi; Marcello Manfrin; Alessandra Moraca; Veronica Cacitti; Epifanio Molini; Luigi Ferrini; Gian Piero Perna
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
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:
Created Date:  2002-04-26     Completed Date:  2002-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100909716     Medline TA:  Ital Heart J     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  199-201     Citation Subset:  IM    
Affiliation:
Division of Cardiology, G.M. Lancisi Hospital, Italy. morcecconi@tiscalinet.it
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MeSH Terms
Descriptor/Qualifier:
Aged
Atrial Fibrillation / complications
Echocardiography
Embolism / etiology*
Female
Heart Atria
Heart Diseases / pathology*
Humans
Prognosis
Thrombosis / pathology*

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