Balloon Mitral Commissurotomy for Mitral Stenosis After Resolution of a Large Mobile Left Atrial Thrombus by 2-year Warfarin Treatment

被引:2
作者
Chang, Wei-Chun [1 ,2 ,4 ]
Lin, I-Hsiang [3 ]
Ting, Chih-Tai [1 ,2 ,4 ]
Liang, Kae-Woei [1 ,2 ,4 ]
机构
[1] Taichung Vet Gen Hosp, Ctr Cardiovasc, Taichung 407, Taiwan
[2] Natl Yang Ming Univ, Sch Med, Dept Med, Taipei 112, Taiwan
[3] Nantou Hosp, Dept Med, Nantou, Taiwan
[4] Natl Yang Ming Univ, Sch Med, Inst Clin Med, Cardiovasc Res Ctr, Taipei 112, Taiwan
关键词
heart atrium; mitral valve stenosis; thrombosis; warfarin;
D O I
10.1016/S1726-4901(09)70448-4
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 atria] 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. [J Chin Med Assoc 2009; 72(12):646-649]
引用
收藏
页码:646 / 649
页数:4
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