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J Thorac Cardiovasc Surg 2009;137:756-757
© 2009 The American Association for Thoracic Surgery

Brief Communication

Left atrial ball thrombus associated with severe left ventricular dysfunction due to aortic valve stenosis in a patient on dialysis

Masato Nakajima, MD*, Koji Tsuchiya, MD, Yuki Okamoto, MD, Kiyotaka Yano, MD, Tatsuho Kobayashi, MD

Department of Cardiovascular Surgery, Yamanashi Central Hospital, Kofu City, Yamanashi, Japan

Received for publication December 4, 2007; revisions received December 21, 2007; accepted for publication December 24, 2007.

* Address for reprints: Masato Nakajima, MD, Yamanashi Central Hospital, Cardiovascular Surgery, 1-1-1 Fujimi, Kofu City, Yamanashi 400-0027, Japan. (Email: m-nakajima2a@ych.pref.yamanashi.jp).

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

Left atrial ball thrombus is frequently associated with mitral valve disease and atrial fibrillation. Only a few cases of left atrial ball thrombus associated with restrictive cardiomyopathy in the absence of mitral valve disease have been previously reported. In the present case report, left atrial ball thrombus developed in a patient with aortic valve stenosis, severe left ventricular dysfunction, and chronic renal failure requiring hemodialysis. To our knowledge, this is a unique report of left atrial ball thrombus caused by severe left ventricular dysfunction due to aortic valve stenosis in the presence of sinus rhythm.

Clinical Summary

A 77-year-old woman was referred to our hospital for surgical treatment of aortic valve stenosis with severe left ventricular dysfunction. The patient had an 8-year history of hemodialysis for chronic renal failure and presented with an approximately 1-year history . . . [Full Text of this Article]






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