Shibasaki I, Kaneko T, Obayashi T, Sato Y, Inaba H, Kaki N, Ogata T, Oki S
Division of Cardiovascular Surgery, Gunma Prefectural Cardiovascular Center, Maebashi, Japan.
Kyobu Geka. 2001 Mar;54(3):228-31.
We report a rare case of free-floating ball thrombus in the left atrium with mitral stenosis. The patient was 71-year-old woman who admitted to the local hospital for transient ischemic attack. Electrocardiography showed atrial fibrillation and an echocardiogram examination revealed free-floating ball thrombus in the left atrium with mitral stenosis. She was transferred to our hospital for emergency open heart operation. After removal of the ball thrombus, mitral valve replacement and modified MAZE procedure were successfully performed. The size of the ball thrombus was 40 x 30 x 33 mm and weighed 20 g. Postoperative course was uneventful.
我们报告一例罕见的伴有二尖瓣狭窄的左心房游离球状血栓病例。患者为一名71岁女性，因短暂性脑缺血发作入住当地医院。心电图显示房颤，超声心动图检查发现伴有二尖瓣狭窄的左心房游离球状血栓。她被转至我院接受急诊心脏直视手术。取出球状血栓后，成功进行了二尖瓣置换术和改良迷宫手术。球状血栓大小为40×30×33mm，重20g。术后病程顺利。
