Browse

A Lost "Pinball" in the Left Atrium

Cited 0 time in Web of Science Cited 0 time in Scopus
Authors
Kim, Hyung-Kwan; Chang, Sung-A; Kim, Yong-Jin; Sohn, Dae-Won
Issue Date
2010-04-13
Publisher
ELSEVIER SCIENCE INC
Citation
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY; Vol.55 15; 1642-1642
Abstract
A 60-year-old man was referred to our center for the evaluation of sudden-onset rightside
weakness and aphasia. Three months earlier, he underwent mitral valve replacement
for mitral stenosis elsewhere. Transthoracic echocardiography showed a wellfunctioning
bioprosthetic mitral valve along with a 35 32-mm, round, free-floating ball
thrombus, which intermittently caused a transient obstruction of the valvular orifice; then the valve
leaflets snapped it away like a pinball game (A to H, Online Videos 1 and 2). The brain magnetic
resonance imaging and thoracoabdominal computed tomography angiography showed embolic infarctions
in the brain and spleen (I and J). Surgery was delayed due to the potential risk of cerebral
complications that might occur during cardiac surgery in the setting of acute stroke with a hemorrhagic
transformation. On the 14th hospital day, a follow-up transthoracic echocardiography revealed
the complete disappearance of the ball thrombus (K and L, Online Videos 3 and 4). The
patient demonstrated no symptoms or signs suggesting a new embolic event.
ISSN
0735-1097
Language
English
URI
http://hdl.handle.net/10371/77520
DOI
https://doi.org/10.1016/j.jacc.2009.03.097
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Internal Medicine (내과학전공)Journal Papers (저널논문_내과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse