Mobile Left Atrial Mass – Clot or Left Atrial Myxoma

We report a case of a left atrial mass in a middle age male patient having past history of closed mitral commissuro to my presented with mitral stenosis and atrial fibrillation. On transthoracic echocardiography (TTE) a round mass appeared freely mobile in left atrium but did not prolapse between the mitral leaflets due to the tightly stenosed valve orifice. In the presence of mitral stenosis, atrial fibrillation and dilated left atrium, the appearance of the mass was like mobile thrombus but possibility of left atrial myxoma cannot be ignored. Consequently, the patient was referred for surgical treatment and the mass removed through left atriotomy. Microscopic examination revealed a highly organized thrombus. We conclude that TTE is still a reliable tool in the diagnosis of large mobile atrial thrombi; TEE may help for differentiate clot from atrial myxoma but histopathological examination is a gold standard.Keywords:CMC-closed mitral,commissurotomy,left atrium,Mitral stenosis,mitral valve replacementView:PDF (943.05 KB)Full TextClick here to download the PDF file.‹ Negative Pressure Pulmonary Oedema after Sedation in a Patient Undergoing Pacemaker ImplantationSyphilitic Bilateral Coronary Artery Ostial Stenosis Presenting as Acute Coronary Syndrome ›
Source: Journal of Cardiovascular Disease Research - Category: Cardiology Authors: Source Type: research