Left Atrial Thrombus Formation in a Patient With Severe Non-rheumatic Mitral Stenosis After Mitral Valve Repair Receiving Dual Antiplatelet Therapy: A Clinical Challenge

2019 ◽  
Vol 33 (12) ◽  
pp. 3519-3521
Author(s):  
Michael Essandoh ◽  
Amir Elhassan ◽  
Thomas J. Papadimos ◽  
Brandon Pruett ◽  
Gregory D. Rushing
Keyword(s):  
Mitral Valve ◽  
Antiplatelet Therapy ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Dual Antiplatelet Therapy ◽  
Thrombus Formation ◽  
Valve Repair ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus ◽  
Clinical Challenge

Left atrial thrombus formation early after mitral valve replacement

2004 ◽  
Vol 18 (5) ◽  
pp. 637-640 ◽  
Author(s):  
Jean-Luc Canivet ◽  
Thierry Yans ◽  
Laurence Roediger ◽  
Marc Albert Radermecker
Keyword(s):  
Mitral Valve ◽  
Valve Replacement ◽  
Mitral Valve Replacement ◽  
Left Atrial ◽  
Thrombus Formation ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus

scholarly journals Left atrial thrombus formation within a few days of hospitalization in semi-acute ischemic heart disease despite no atrial fibrillation and mitral stenosis: a case report

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Keiko Okamura ◽  
Mitsuharu Kodaka ◽  
Junko Ichikawa ◽  
Kazuyoshi Ando ◽  
Makiko Komori
Keyword(s):  
Atrial Fibrillation ◽  
Sinus Rhythm ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Thrombus Formation ◽  
Artery Bypass ◽  
Left Ventricular ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus ◽  
Heparin Resistance

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.

scholarly journals Atrial fibrillation with flutter episode in patient with mitral stenosis

2018 ◽  
Vol 41 (3) ◽  
pp. 134
Author(s):  
Deri Arara ◽  
Yerizal Karani
Keyword(s):  
Atrial Fibrillation ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Thrombus Formation ◽  
The Other ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus ◽  
Common Etiology ◽  
Severe Degree ◽  
Rheumatic Heart

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.

scholarly journals Successful anticoagulation therapy for a giant left atrial thrombus following mitral valve repair

2017 ◽  
Vol 9 (7) ◽  
pp. E640-E643
Author(s):  
Eshani N. Mathew ◽  
Philip Y. K. Pang ◽  
Makoto Mori ◽  
Yeow Leng Chua ◽  
Yoong Kong Sin
Keyword(s):  
Mitral Valve ◽  
Mitral Valve Repair ◽  
Left Atrial ◽  
Anticoagulation Therapy ◽  
Valve Repair ◽  
Left Atrial Thrombus ◽  
Atrial Thrombus
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