Non-Invasive Diagnosis of a Free-Floating Left Atrial Thrombus With Emphasis on Two- Dimensional Echocardiographic Features

Author:

Szkopiec Roman L.1,Torstveit Jeremy R.1,Sri Prakash N.1,Desser Kenneth B.1,Benchimol Alberto1

Affiliation:

1. Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

Abstract

Two-dimensional echocardiography permitted identification of a large free-floating left atrial thrombus in a patient with mitral stenosis. A specific pattern of motion afforded its recognition and differentiation from mural left atrial thrombosis and tumors. Phonocardiographic tracings revealed a non- ejection systolic click and opening snap. A gated blood pool scintigram dis closed a left atrial filling defect. Subsequent left atrial angiography and left atriotomy confirmed the non-invasive findings.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine

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