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J Thorac Cardiovasc Surg 2008;136:1374-1376
© 2008 The American Association for Thoracic Surgery

Brief Communication

Giant left atrial thrombus with mechanical compromise of the mitral valve

Andres Beiras-Fernandez, MDa,*, Patrick Moehnle, MDb, Ingo Kaczmarek, MDa, Florian Weis, MDb, Bruno Reichart, MDa, Calin Vicol, MDa

a Department of Cardiac Surgery, Grosshadern University Hospital, Munich, Germany
b Department of Anesthesiology, Grosshadern University Hospital, Munich, Germany

Received for publication November 4, 2007; revisions received December 20, 2007; accepted for publication December 22, 2007.

* Address for reprints: Andres Beiras-Fernandez, MD, Department of Cardiac Surgery, Grosshadern University Hospital, Marchioninistrasse 15, 81377 Munich, Germany. (Email: abeiras@med.uni-muenchen.de).

The first 20% of the full text of this article appears below.

Free-floating giant thrombus is a rare and severe finding observed occasionally in patients with atrial fibrillation and concomitant mitral valve disease.1Go Herein, we report the case of a 76-year-old woman with acute heart failure and lung edema resulting from a giant left atrial thrombus that mechanically compromised the mitral valve.

Clinical Summary

A 76-year-old woman with a record of mitral stenosis was referred to our department because of acute respiratory insufficiency and cardiogenic shock. The electrocardiogram showed atrial fibrillation. Chest radiograph showed massive pulmonary edema and an enlarged heart silhouette. Multislice computed heart tomography showed the presence of intracavitary masses in the enlarged left atrium and confirmed the absence of coronary disease (Figure 1, A and B).


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  		Figure 1. Computed tomographic study of thorax showed an enlarged . . . [Full Text of this Article]

 





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