Thrombotic occlusion of bilateral popliteal arteries by ball valve thrombus in left atrium

We present a patient of mitral stenosis with a left atrial ball valve thrombus. The diagnosis was confirmed by transesophageal echocardiogram. No clot was detected in the left atrium or the left atrial appendage at surgery. At completion of surgery, the distal pulses of lower limbs were not palpable...

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Bibliographic Details
Published inJournal of the Association of Physicians of India Vol. 57; p. 531
Main Authors Pau, Biswajit, Sachdev, Ankush, Sharma, Vinay, Kumar, Vivek, Shrivastav, Sameer, Omar, Ashok K
Format Journal Article
LanguageEnglish
Published India 01.07.2009
Subjects
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Heart Atria - diagnostic imaging
Heart Atria - surgery
Humans
Middle Aged
Mitral Valve Stenosis - complications
Mitral Valve Stenosis - diagnostic imaging
Mitral Valve Stenosis - surgery
Popliteal Artery - diagnostic imaging
Popliteal Artery - surgery
Postoperative Complications - diagnostic imaging
Postoperative Complications - surgery
Thrombosis - complications
Thrombosis - diagnostic imaging
Thrombosis - surgery
Treatment Outcome
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Summary:We present a patient of mitral stenosis with a left atrial ball valve thrombus. The diagnosis was confirmed by transesophageal echocardiogram. No clot was detected in the left atrium or the left atrial appendage at surgery. At completion of surgery, the distal pulses of lower limbs were not palpable. Vascular Doppler study of lower limbs revealed thrombus-laden bilateral popliteal arteries. Emergency vascular surgery restored circulation in lower limb vessels.
Bibliography:ObjectType-Case Study-2
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ISSN:0004-5772