Left Atrial "Pinball" Thrombus Causing Recurrent Syncope

J Invasive Cardiol. 2020 Feb;32(2):E45.

Abstract

A 75-year-old female was admitted due to a syncopal episode. Transesophageal echocardiography demonstrated severe mitral stenosis with a 5 cm, free-floating, left atrial thrombus intermittently obstructing the mitral valve orifice; she underwent thrombus removal and mitral valve replacement.

Keywords: cardiac imaging; thrombus; valve obstruction.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Echocardiography, Transesophageal / methods*
  • Female
  • Heart Atria / diagnostic imaging*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Mitral Valve Stenosis* / complications
  • Mitral Valve Stenosis* / diagnosis
  • Mitral Valve Stenosis* / physiopathology
  • Severity of Illness Index
  • Syncope* / diagnosis
  • Syncope* / etiology
  • Thrombectomy / methods
  • Thrombosis* / diagnostic imaging
  • Thrombosis* / etiology
  • Thrombosis* / physiopathology
  • Treatment Outcome