Publication: Ping pong ball in the hefty heart: A case report
Date
2006
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
We describe here a very unusual case of a large free floating left atrial thrombus due to critical mitral stenosis
detected by incidental echocardiography, in whom peculiar symptoms and complications of ball thrombus were
absent. The patent's only symptom was mild dyspnoea attributed to smoking. She had no syncope or arrhythmia
induced embolic event. Owing to non-availability of cardiothoracic facility, she was given anticoagulant therapy
which resulted in intracerebral haemorrhage and death.
Key words: Ball thrombus, mitral valve disease, asymptomatic, anticoagulant therapy, intracerebral bleed.
Description
Das RN 1, Goutam N 2
1Associate Professor, Department of Medicine, Manipal Teaching Hospital,
Pokhara
2Padma Nursing Home, Pokhara, Nepal