Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

07 November 2007

Fatal case of acute myocardial infarction due to free floating ball thrombus in left atrium with mitral stenosis

Kenan Iltumur, Yusuf Tamam, Zulkuf Karahan, Mustafa Kaplangoray, Nizamettin Toprak

Case Rep Clin Pract Rev 2007; 8:277-280 :: ID: 519381

Abstract

Background: A free-floating ball thrombus in the left atrium (LA) is very rare, but it has been associated with significant mortality and morbidity. Total obstruction of the narrowed mitral valve orifice and systemic emboli may cause syncope and sudden death.
Case Report: A 32-year-old woman with rheumatic valve disease (severe mitral and tricuspid stenosis and mild mix aortic valve disease) and acute myocardial infarction was admitted after suffering cardiac arrest. The electrocardiogram showed ST-segment elevation in leads I, II, III, aVR, aVF and V3-V6 as well as ST depression in leads aVL, V1 and V2, indicating a recent
myocardial infarct. Echocardiography revealed rheumatic, thickened, and stenotic mitral, tricuspid and aortic valves, and free-floating ball thrombi (3.5 x 3.2 cm) were detected in the left atrium. In addition, all left ventricular walls were hypokinetic (left ventricular ejection fraction (LVEF) 30 %). The patient died suddenly the next day, probably due to mitral inflow obstruction by the free-floating ball thrombi or complications of acute myocardial infarction.
Conclusions: Patients with free-floating thrombi in the LA must undergo surgery because of lifethreatening complications such as acute coronary syndrome, ischemic stroke, arrhythmias and sudden death.

Keywords: Mitral Valve Stenosis

0 Comments

SARS-CoV-2/COVID-19

19 May 2022 : Case report  Serbia

Bilateral Emphysematous Pyelonephritis Associated with COVID Pneumonia: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936370  

17 May 2022 : Case report  USA

High-Frequency Oscillatory Ventilation for Refractory Hypoxemia in Severe COVID-19 Pneumonia: A Small Case ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936651  

13 May 2022 : Case report  Japan

A case of exacerbation of haloperidol-induced rhabdomyolysis following the onset of COVID-19

Am J Case Rep In Press; DOI: 10.12659/AJCR.936589  

13 May 2022 : Case report  USA

Acute Disseminated Encephalomyelitis After SARS-CoV-2 Vaccination

Am J Case Rep In Press; DOI: 10.12659/AJCR.936574  

In Press

26 May 2022 : Case report  USA

Cardiac Tamponade as Initial Presentation of Systemic Lupus Erythematous in Third-Trimester Pregnancy

Am J Case Rep In Press; DOI: 10.12659/AJCR.936273  

25 May 2022 : Case report  Mexico

Acute Mitral Regurgitation Due to Chordae Tendineae Rupture: A Rare Presentation of Cardiac Amyloidosis

Am J Case Rep In Press; DOI: 10.12659/AJCR.936545  

25 May 2022 : Case report  USA

Pleural Effusion as the Initial Presentation of Gastric Adenocarcinoma: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.935434  

24 May 2022 : Case report  USA

Adalimumab Mitigates Lumbar Radiculopathy in a Case of Ankylosing Spondylitis

Am J Case Rep In Press; DOI: 10.12659/AJCR.936600  

Most Viewed Current Articles

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

19 Feb 2022 : Case report  USA

A Rare Case of Coronavirus Disease 2019 Vaccine-Associated Cerebral Venous Sinus Thrombosis Treated with Me...

DOI :10.12659/AJCR.935355

Am J Case Rep 2022; 23:e935355

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923