Balloon mitral commissurotomy for mitral stenosis after resolution of a large mobile left atrial thrombus by 2-year warfarin treatment

J Chin Med Assoc. 2009 Dec;72(12):646-9. doi: 10.1016/S1726-4901(09)70448-4.

Abstract

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 atrial 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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use*
  • Catheterization / methods*
  • Echocardiography, Transesophageal
  • Heart Atria
  • Humans
  • Male
  • Mitral Valve Stenosis / therapy*
  • Thrombosis / diagnostic imaging
  • Thrombosis / drug therapy*
  • Warfarin / therapeutic use*

Substances

  • Anticoagulants
  • Warfarin