• Surgery today · Jan 1995

    Case Reports

    Acute left atrial thrombus causing cardiogenic shock following mitral valve replacement: report of a case.

    • K Okada, C Yamashita, M Okada, T Ota, K Ataka, M Yoshida, H Nohara, T Azami, N Yoshimura, and Y Toyoda.
    • Department of Surgery, Kobe University School of Medicine, Japan.
    • Surg. Today. 1995 Jan 1; 25 (7): 643-5.

    AbstractWe report herein the rare case of a 53-year-old woman who developed cardiogenic shock due to an acute left atrial thrombus following replacement of the mitral valve. A definitive diagnosis was not able to be made using precordial echocardiography because of the broad, flat shape of the thrombus; however, transesophageal echocardiography imaged the thrombus in detail. The patient was initially stabilized by percutaneous cardiopulmonary support after which a thrombectomy was successfully performed.

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