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European Journal of Echocardiography Advance Access published online on October 10, 2008
European Journal of Echocardiography, doi:10.1093/ejechocard/jen255
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

Giant left atrial thrombus in moderate mitral stenosis

Christian Rost*, Werner G. Daniel and Michael Schmid

Department of Internal Medicine 2 (Cardiology), University of Erlangen-Nuremberg, Ulmenweg 18, 91054 Erlangen, Germany

Received 8 August 2008; accepted after revision 10 September 2008.

* Corresponding author. Tel: +49 9131 85 35301; fax: +49 9131 85 35303. E-mail address: rost.christian{at}gmx.net


  Abstract

Nearly every fifth mitral stenosis presents thrombi in the left atrium and therefore has remarkable therapeutic consequences. Most thrombi are located in the left atrial appendage, but atrial appendage thrombus can also extend to the left atrial cavity as in the presented case. This case shows the advantage of a combined diagnostic by MRI and transoesophageal echocardiography for a fast and sufficient detection as well as topologic classification of left atrial thrombi.

Keywords: Echocardiography; MRI; Thrombus


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