Shida T, Wakita N, Gan K, Azami T, Miki T
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Japan.
Kyobu Geka. 1993 Sep;46(10):887-9.
A 76-year-old man admitted to one hospital complaining of transient left hemiparesis. Because of arrhythmia, he was examined by an echocardiogram and found to have an oval free-floating thrombus in his left atrium concomitant with mitral stenosis. He was transferred to our hospital for emergency surgery. On operation, a 3 x 4 cm ball thrombus was removed and diseased mitral valve was replaced with a SJM prosthetic valve. His postoperative course was relatively uneventful. Though left atrial ball thrombus is rarely found among the patients with mitral valve disease, when left atrial ball thrombus is found, immediate surgical intervention is recommended to avoid sudden death.
一名76岁男性因短暂性左半身轻瘫入住某医院。由于心律失常，他接受了超声心动图检查，发现左心房有一个椭圆形游离血栓，同时伴有二尖瓣狭窄。他被转至我院进行急诊手术。手术中，取出了一个3×4厘米的球形血栓，并用圣犹达医疗公司（SJM）的人工瓣膜替换了病变的二尖瓣。他术后恢复过程相对平稳。虽然在二尖瓣疾病患者中很少发现左心房球形血栓，但一旦发现左心房球形血栓，建议立即进行手术干预以避免猝死。
