Department of Cardiovascular Surgery, Ghassani Hospital, Fes, Morocco.
Sidi Mohamed Ben Abdellah University, Fes, Morocco.
Pan Afr Med J. 2022 Jul 12;42:197. doi: 10.11604/pamj.2022.42.197.33771. eCollection 2022.
Valvular heart disease, and in particular, rheumatic mitral stenosis is frequently associated with intra-cardiac thrombus. Moreover, almost all types of thrombus can be founded in the left atrium whereas the ball shaped thrombus remains very rare. The following case report describes a successful surgical management of an unusual case with a concomitant left atrial free-floating ball thrombus and mural one in a patient who has rheumatic mitral stenosis with atrial fibrillation. However, this patient did not present any cerebral or peripheral embolic events. Left atrial ball thrombus is relatively a rare case. Once the diagnosis was made, the surgical removal should be done immediately to avoid embolic complications and deterioration of hemodynamics.
心脏瓣膜病，特别是风湿性二尖瓣狭窄常伴有心内血栓。此外，几乎所有类型的血栓都可以在左心房中发现，而球形血栓则非常罕见。以下病例报告描述了一例风湿性二尖瓣狭窄合并心房颤动患者的左心房游离球血栓和壁血栓的成功手术治疗。然而，该患者并未出现任何脑或外周栓塞事件。左心房球血栓是一种相对罕见的病例。一旦诊断明确，应立即进行手术切除，以避免栓塞并发症和血液动力学恶化。
