Balloon mitral commissurotomy for mitral stenosis after resolution of a large mobile left atrial thrombus by 2-year warfarin treatment.

Abstract

We report on a patient who was referred for percutaneous transvenous mitral commissurotomy for symptomatic mitral stenosis. However, transthoracic and transesophageal echocardiography both revealed a large mobile left atrial thrombus, occupying almost half of the left atrial body. Because the patient strongly declined surgical mitral treatment, he was administered warfarin for 2 years. Complete resolution of left atrial thrombus was confirmed by follow-up transesophageal echocardiography. Successful percutaneous transvenous mitral commissurotomy was undertaken without complications.

• Authors: Wei-Chun Chang, I-Hsiang Lin, Chih-Tai Ting, Kae-Woei Liang
• Journal: Journal of the Chinese Medical Association : JCMA (J Chin Med Assoc) Vol. 72 Issue 12 Pg. 646-9 (Dec 2009) ISSN: 1728-7731 [Electronic] Netherlands
• PMID: 20028646 (Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)

Chemical References

• Anticoagulants
• Warfarin

Topics

• Adult
• Anticoagulants (therapeutic use)
• Catheterization (methods)
• Echocardiography, Transesophageal
• Heart Atria
• Humans
• Male
• Mitral Valve Stenosis (therapy)
• Thrombosis (diagnostic imaging, drug therapy)
• Warfarin (therapeutic use)