Naslov
Kliničke i ehokardiografske značajke dva velika parijetalna tromba lijeve pretklijetke
(Clinical and echocardiographic features of two large left atrial parietal thrombi)

Autori
Vincelj Josip ; Biočić Stanko ; , Bergovec Mijo ; Biočina Bojan, Husedžinović Ino, Korušić Anđelko

Izvornik
Acta medica Croatica (1330-0164) 53 (1999), 1; 45-47

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, prikaz slučaja, stručni

Ključne riječi
Ehokardiografija; Ženski spol; Srčane pretklijetke; Bolesti srca/etiologija; Bolesti srca/kirurško liječenje; Boelsti srca/ultrasonografija; Stenoza mitralne valvule/komplikacije; Stenoza mitralne valvule/kirurško liječenje; Tromboza/etiologija; Tromboza/kirurško liječenje; Tromboza/ultrasonografija;
(Echocardiography; Female; Heart Atria; Heart Diseases/etiology; Heart Diseases/surgery; Heart Diseases/ultrasonography; Mitral Valve Stenosis/complications; Mitral Valve Stenosis/surgery; Thrombosis/etiology; Thrombosis/surgery; Thrombosis/ultrasonography)

Sažetak
A 62-year-old woman with severe mitral stenosis and two large parietal thrombi inside the left atrium is described. The patient was admitted to the hospital because of heart failure. Transthoracic and transesophageal echocardiography showed a severe calcific mitral stenosis and two large (56.9 and 46.2 mm in diameter) parietal thrombi inside the left atrium attached to the interatrial septum and associated with severe spontaneous echo contrast. This severe spontaneous echo contrast was detected in the left atrium and in the left atrial appendage. The patient was referred for cardiac surgery. The two large parietal thrombi were removed, and the valve was replaced with a Sorin-Bicarbon mitral valve prosthesis. Intraoperative transesophageal echocardiography after replacement of the mitral valve prosthesis and removal of the thrombotic mass showed absence of any spontaneous echo contrast in the left atrium and in the left atrial appendage. This report describes the diagnostic approach and successful surgical treatment of two very large parietal thrombi inside the left atrium associated with severe mitral stenosis and atrial fibrillation, which is a rare occurrence.

Izvorni jezik
Hrvatski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA