scholarly journals Quantitatively Assessed Spontaneous Echo Contrast Density Predicts Left Atrial Thrombus Formation in Patients with Rheumatismal Mitral Stenosis: An Integrated Backscatter Analysis Study

2013 ◽  
Vol 62 (18) ◽  
pp. C239
Author(s):  
Osman Turak ◽  
Fırat Özcan ◽  
Ahmet İşleyen ◽  
Mehmet A Mendi ◽  
Fatih Öksüz ◽  
...  
CHEST Journal ◽  
1993 ◽  
Vol 103 (2) ◽  
pp. 348-352 ◽  
Author(s):  
Carlo Vigna ◽  
Vincenzo de Rito ◽  
Gian Marco Criconia ◽  
Aldo Russo ◽  
Marco Testa ◽  
...  

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Keiko Okamura ◽  
Mitsuharu Kodaka ◽  
Junko Ichikawa ◽  
Kazuyoshi Ando ◽  
Makiko Komori

Abstract Background Currently, the occurrence of left atrial thrombus despite the provision of heparinization within a few days of hospitalization without atrial fibrillation (AF) and mitral stenosis (MS) is rarely reported. Case presentation A 71-year-old woman presented with chest discomfort and dyspnea. Examination revealed ST elevation with sinus rhythm, congestive heart failure, and moderate mitral regurgitation (MR) by transthoracic echocardiography (TTE). Diuretics, a coronary vasodilator, and unfractionated heparin (15,000 units/day) were administered. Four days after hospitalization, her C-reactive protein level had increased; therefore, TTE was repeated, revealing a thrombus in the left atrial appendage, which was probably affected by heparin resistance because of low antithrombin (49%). On day 5, the patient underwent emergency removal of the thrombus, mitral valve replacement, and coronary artery bypass. Conclusion Patients can exhibit low left ventricular contractility, even sinus rhythm without MS. Thus, TTE and subsequent coagulation tests including antithrombin must be performed to prevent thrombus.


2018 ◽  
Vol 41 (3) ◽  
pp. 134
Author(s):  
Deri Arara ◽  
Yerizal Karani

Mitral stenosis (MS) is a condition which happened because of congenital or acquired event. The most common etiology of MS in Indonesia is Rheumatic Heart Disease (RHD). Chronic inflammation on the mitral valve could lead to stenosis from mild to severe degree. Mitral stenosis could lead to many complications such as pulmonary hypertension and atrial fibrillation (AF). The prevalence of AF in patients with MS is related to the severity of valve obstruction and patient age. AF event in patient with MS could be happen because of Left Atrial (LA) dilatation of the patient. The mechanism that responsible for AF in patient with MS is a complex one. AF even with or without atrial flutter episode could lead a deterioration of patient hemodynamic. In the other way, the patient also predisposes to left atrial thrombus formation and systemic embolic events. Good awareness in diagnosis and management of atrial fibrillation in patient with MS are mandatory to reduce the morbidity and mortality.


2002 ◽  
Vol 73 (1) ◽  
pp. 286-288 ◽  
Author(s):  
Tomomi Hasegawa ◽  
Masahisa Uematsu ◽  
Takuro Tsukube ◽  
Yukihiro Takemura ◽  
Yutaka Okita

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