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Left Atrial Ball Valve Thrombus

Mitral Valve Ball Valve Thrombus


Presentation

  • In the present case, we describe a 61-year-old female with restrictive cardiomyopathy who presented with a large left atrial ball valve thrombus, which subsequently embolized to right carotid artery and was treated with intravenous thrombolysis.[ncbi.nlm.nih.gov]
  • Key points Presents 50 real clinical cardiology cases Covers numerous disorders of the cardiac system Authored by recognised cardiologist Includes more than 217 images, illustrations and tables[books.google.com]
  • Abstract A 20-year-old woman with complex cyanotic congenital heart disease, including severe congenital mitral stenosis and intact atrial septum, who developed a left atrial ball thrombus and an embolic phenomenon, is presented.[wwww.unboundmedicine.com]
  • Bahl , MD, DM and Rakesh Yadav , MD, DM A 35-year-old woman with a pre-existing diagnosis of rheumatic heart disease and mitral stenosis presented this time to us with history of recent worsening of her dyspnea and new onset of fever for past 15 days.[onlinejacc.org]
Physician
  • Grasp current clinical concepts regarding development, pediatrics, and adult medicine captured in classic Netter illustrations, as well as new illustrations created by artist-physician Carlos Machado, MD, and others working in the Netter style.[books.google.com]
  • Valvular and structural heart disease: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008 Jun. 133(6 Suppl):593S-629S. [Medline].[emedicine.medscape.com]
  • J Assoc Physicians India 2009 Jul;57:531 Escorts Heart Institute & Research Centre, Okhla, New Delhi - 110025. We present a patient of mitral stenosis with a left atrial ball valve thrombus.[pubfacts.com]
  • Based on the results of your ABI, as well as your symptoms and risk factors for PAD, the physician can decide if further tests are needed.[cirse.org]
Congestive Heart Failure
  • On examination, she had features of congestive heart failure in the form of congestive hepatopathy, raised jugular venous pressure, and anasarca.[onlinejacc.org]
  • Differential Diagnosis of Causes of Left Atrial Enlargement By Organ System Cardiovascular Aortic regurgitation, Aortic stenosis, Atrial fibrillation [2], Atrial septal defect, Cardiac amyloidosis [3], Coarctation of the aorta, Congestive heart failure[wikidoc.org]
Swelling
  • A 27-year-old Arab woman with history of seronegative rheumatoid arthritis for four years presented with a three-day history of multiple joint pains and swelling, along with fever.[bjcardio.co.uk]
  • Bandages or support stockings may help the symptoms of pain or swelling. Removal (by surgery) of the veins or sealing them off. There are plenty of other smaller veins that can take on the return of the blood.[cirse.org]
Cyanotic Congenital Heart Disease
  • Abstract A 20-year-old woman with complex cyanotic congenital heart disease, including severe congenital mitral stenosis and intact atrial septum, who developed a left atrial ball thrombus and an embolic phenomenon, is presented.[wwww.unboundmedicine.com]
Heart Disease
  • TY - JOUR T1 - Development of a left atrial ball thrombus in a woman with complex congenital heart disease including congenital mitral valve stenosis.[wwww.unboundmedicine.com]
  • Access new and updated guidelines covering Diseases of the Aorta, Peripheral Artery Diseases, Diabetes and the Cardiovascular System, Heart Failure, and Valvular Heart Disease.[books.google.com]
  • Bahl , MD, DM and Rakesh Yadav , MD, DM A 35-year-old woman with a pre-existing diagnosis of rheumatic heart disease and mitral stenosis presented this time to us with history of recent worsening of her dyspnea and new onset of fever for past 15 days.[onlinejacc.org]
  • Rheumatic heart disease remains a major health issue in India, with one recent study estimating the prevalence as 6.8 cases per 10,000 schoolchildren.[nejm.org]
Meningism
  • Ferri’s popular "5 books in 1" format provides quick guidance on short QT syndrome, microscopic polyangiitis, fungal meningitis, and much more. This medical reference makes the answers you need even easier to find - anytime, anywhere.[books.google.com]
Excitement
  • This classic Netter reference has been updated to mirror the many exciting advances in cardiovascular medicine and imaging – offering unparalleled insights into anatomy, physiology, and clinical conditions.[books.google.com]

Workup

  • In contrast, the workup of most elderly patients with a stroke should start with an imaging modality of the internal carotid arteries. peripheral, visceral, cerebrovascular, neurological Class I (definitely proven to be of benefit) American College of[quizlet.com]
Mural Thrombus
  • Our case indicates that emergent surgical removal of the large left atrial mural thrombus should be done immediately after the diagnosis and we consider this approach for the best treatment at the time.[ispub.com]
  • Although apparently no mural thrombus existed in the LA and the LABT had a smooth surface, it is undeniable that some pieces of fresh thrombi were detached from its surface and were carried as throm- boemboli during the operation.[docslide.com.br]
  • Tilted parasternal long axis-3 chamber view showing the myxoma masquerading as free-floating ball- valve, organized mural thrombus. Figure 6.[file.scirp.org]
Decreased Platelet Count
  • In association, she had a deranged coagulation profile with an international normalized ratio of 3.2 and a decreased platelet count of 44 10 3 /μl.[onlinejacc.org]
P Mitrale
  • ECG Right ventricular hypertrophy: tall R waves in V1–V3 P mitrale or atrial fibrillation Chest X-ray Enlarged LA and appendage Signs of pulmonary venous congestion Echocardiogram Thickened immobile cusps Reduced valve area Enlarged LA Reduced rate of[med.rimikri.com]
Ventricular Hypertrophy
  • Electrocardiograna showed atrial fibrillation with normal axis deviation and remarkable left ventricular hypertrophy.[docslide.com.br]
  • Severe left ventricular hypertrophy in pediatric dialysis: prevalence and predictors. Pediatr Nephrol 2000;14:898–902. 4. Hillis GS, Moller JE, Pellikka PA, et al.[kjim.org]
  • ECG Right ventricular hypertrophy: tall R waves in V1–V3 P mitrale or atrial fibrillation Chest X-ray Enlarged LA and appendage Signs of pulmonary venous congestion Echocardiogram Thickened immobile cusps Reduced valve area Enlarged LA Reduced rate of[med.rimikri.com]

Treatment

  • Beginning with a brief history and findings based on physical examination, each case then includes analytical discussion on bedside investigations and proposals for treatment.[books.google.com]
  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • This report highlights a challenging clinical scenario and treatment dilemma.[jtd.amegroups.com]

Prognosis

  • Prognosis and Clinical Implications The importance of an LA thrombus depends on the clinical setting. - Left atrial ball valve thrombus should be suspected if the patient with severe mitral valve stenosis and atrial fibrillation have intermittent or changing[afghan-heart.blogspot.com]

Etiology

  • Echocardiography is also very useful to define etiology which causes HF such as myocardial infarction, valvular heart disease and congenital heart disease.[jaypeedigital.com]
  • Etiology MS is rheumatic in 99% cases. Rheumatic heart disease- Mitral – 65% Aortic- 35% Tricuspid- 6% Pulmonary- rare RHD is multivalvular in 38% cases. Rheumatic mitral valve disease- MS- 25% MS MR- 40% Aschoff nodules are present in myocardium.[heartpearls.com]
  • Future Perspective The exact etiology of myxomas was unknown. Analysis of the causes of myxoma is important to formulate therapy to inhibit its growth.[file.scirp.org]
  • A ____________ embolus is the result of a deep venous thrombosis, which has broken free and traveled to the lung bed. thrombus, vegetations, myxoma, fibroelastoma, thromboemboli Potential cardiovascular etiologies of stroke A.[quizlet.com]

Epidemiology

  • Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty[mdedge.com]
  • Received 22 March 2016; accepted 23 April 2016; published 26 April 2016 ABSTRACT From an epidemiologic perspective, cardiac myxomas are best divided into the following 2 categories: those that arise in isolation and those that arise in the setting of[file.scirp.org]
  • The epidemiology of cardiogenic emboli in younger patients is different from that of older subjects.[quizlet.com]
Sex distribution
Age distribution

Pathophysiology

  • Similar pathophysiologic process occurs in mitral stenosis resulting in subsequent left atrial enlargement.[wikidoc.org]
  • Malignant carcinoid Amyloidosis Methysergide Hurler-Hunter Fabry disease Whipple disease Mitral annular calcification Infective endocarditis (large vegetations causing obstruction) Conditions mimicking MS- LA myxoma Ball valve thrombus Cor triatriatum Pathophysiology[heartpearls.com]
  • When _____ involvement of the mitral valve is present with an ASD, ______ syndrome is said to be present. diastolic, right, pulmonary, paradoxical The pathophysiology of ASD, is a left to right shunt resulting in _____ overloading of the _____ ventricle[quizlet.com]

Prevention

  • The operation was done with careful, gentle manipulation and with transesopha- geal echocardiography (TEE) to prevent intraoperative thromboembolism. The LA was approached through a left atriotomy from the right side.[docslide.com.br]
  • The ball valve thrombus (thin arrow) was prevented from sitting on to the mitral valve orifice by a hockey-shaped anterior mitral leaflet (thick arrow) , which pushed it back into the LA repeatedly ( B , Online Videos 1 and 2 ).[onlinejacc.org]
  • Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets[books.google.com]

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