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  IN THIS Article
 ::  Abstract
 ::  Introduction
 ::  Case report
 ::  Discussion
 ::  References
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CASE REPORT
Year : 1979  |  Volume : 25  |  Issue : 4  |  Page : 249-250

Left atrial thrombus in a case of prosthetic mitral valve


Department of Cardiology, Seth G. S. Medical College and K.E.M. Hospital, Parel, Bombay-400012, India

Correspondence Address:
Lilam S Shah
Department of Cardiology, Seth G. S. Medical College and K.E.M. Hospital, Parel, Bombay-400012
India
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Source of Support: None, Conflict of Interest: None


PMID: 529190

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 :: Abstract 

A case of left atrial thrombus in Bjork Shiley mitral valve pros­thesis is reported.



How to cite this article:
Shah LS, Vengsarkar A S. Left atrial thrombus in a case of prosthetic mitral valve. J Postgrad Med 1979;25:249-50

How to cite this URL:
Shah LS, Vengsarkar A S. Left atrial thrombus in a case of prosthetic mitral valve. J Postgrad Med [serial online] 1979 [cited 2020 Nov 29];25:249-50. Available from: https://www.jpgmonline.com/text.asp?1979/25/4/249/42234



 :: Introduction Top


Usefulness of echocardiography it detecting the prosthetic valve function: has been described by many authors. [1],[2],[3] Varying patterns of echoes from the same type of a prosthetic valve have caused confusion in assessing the exact status of the valve function. In this case report, an echocardiogram obtained from pros­thetic Bjork Shiley valve is reported and multiple echoes in left atrial cavity pro­bably originating from the left atria. thrombus are demonstrated.


 :: Case report Top


G. M., a 20 year old female was attending cardiology clinics since 1970. Her main com­plaints were effort intolerance, palpitations and failure to gain weight, There was history of rheumatic joint pains in the past. Clinical examination revealed moderately severe mitral regurgitation of rheumatic etiology. The patient was subjected to mitral valve replacement by prothetic Bjork Shiley valve in 1977. One year later she was readmitted with low output syn­drome and cardiac failure, which did not re­spond to medical line of treatment. She died in April 1978.

Her prosthetic mitral valve echogram showed an apparently normal functioning of the valve (See [Figure 1] on page 250A) whereas the left atrial cavity was full of thick dense echoes pro­bably from blood clots (See [Figure 2] on page 250A). Interventricular septum showed para­doxical systolic anterior motion.


 :: Discussion Top


Various echograms obtained from a Bjork Shiley disc valve in mitral valve position have been described by Douglas et al [1] Our case shows type D pattern [1] (See [Figure 1], on page 250A). We are unable to state whether this reflected a malfunc­tioning valve. The interventricular sep­tum showed systolic anterior motion (SAM). Left atrial cavity was full of echoes probably originating from blood clots Since post mortem studies are lack­ing in this case the status of valve func­tion could not be commented upon.

 
 :: References Top

1.Douglas, J. E. and Williams, G. D.: Echocardiographic - evaluation of the Bjork Shiley prosthetic valve. Circulation, 50: 52-57, 1974.  Back to cited text no. 1    
2.Johnson, M. L., Hulmer, J. H. and Palton, B. C.: Echocardiographic ditermination of mitral disc valve excursion. Circulation,47: 1274-1280, 1973.  Back to cited text no. 2    
3.Schuchman, H., Feigenbaum, H., Dillon, J. C. and Chang, S.: Intracavi.ory echoes in patients with mitral prosthetic valves. J. Clin. Ultrasound, 3: 111, 1975 as Quoted by Feigenbaum, H. In, "Echo­cardiography" 2nd Edition Chapter 7 on "Prosthetic Valves". Lea and Febiger, Philadelphia, 1976, p. 201.  Back to cited text no. 3    


    Figures

  [Figure 1], [Figure 2]



 

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Online since 12th February '04
© 2004 - Journal of Postgraduate Medicine
Official Publication of the Staff Society of the Seth GS Medical College and KEM Hospital, Mumbai, India
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