Volume : 1, Issue : 2, DEC 2015

MITRAL VALVE REPLACEMENT WITH SUCCESSFUL REMOVAL OF VERY LARGE LEFT ATRIAL ORGANISED CLOT [300GMS] SECONDARY TO CORONARY CAMERAL FISTULA

Dr Suraj Wasudeo Nagre, Dr Manisha Suraj Nagre

Abstract

Left atrial clot is common in mitral valve disease. They are even more commonly seen after an episode of atrial fibrillation. This clot may cause
sudden circulatory arrest and systemic embolization. Here we reported a case of mitral stenosis with very large organized clot in the left atrium secondary to coronary cameral fistula opening in left atrium. The patient underwent successful mitral valve replacement with removal of large left atrial clot of 300gm and closure of coronary cameral fistula opening with internal closure of left atrial appendage.

Keywords

left atrium, mitral stenosis, mitral valve replacement,coronary cameral fistula

Article : Download PDF

Cite This Article

Article No : 9

Number of Downloads : 679

References

1. Rost C, Daniel WG, Schmid M. Giant left atrial thrombus in moderate
mitral stenosis. Eur J Echocardiogr. 2009 Mar; 10(2):358-9.
Epub 2008 Oct 10
2. Murayama J, Itoh T, Natsuaki M, Suenaga E, Suda H. Left atrial
thrombus without mitral disease; report of a case. KyobuGeka
2003; 56(13):1130-3.
3. Lee JH, Kang SK, Lee CW, Song JK, Park JS, Choo SJ. Giant left
atrial ball thrombus in a patient with chronic nonvalvular atrial
fibrillation. Ann ThoracSurg 2008 Jan; 85(1):313-5.
4. Cademartiri F, Runza G, Luccichenti G, Galia M, Mollet NR,
Alaimo V, et al. Coronary artery anomalies: incidence,
pathophysiology, clinical relevance and role of diagnostic imaging
[in Italian]. Radiol Med 2006;111(3):376–91. [PubMed]
5. Reidy JF, Anjos RT, Qureshi SA, Baker EJ, Tynan MJ.
Transcatheter embolization in the treatment of coronary artery
fistulas. J Am CollCardiol 1991;18(1):187–92. [PubMed]