Abstract
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.
MeSH terms
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Diagnosis, Differential
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Echocardiography, Transesophageal
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Female
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Heart Atria / diagnostic imaging*
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Heart Atria / surgery
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Humans
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Middle Aged
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Mitral Valve Stenosis / complications
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Mitral Valve Stenosis / diagnostic imaging
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Mitral Valve Stenosis / surgery*
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Popliteal Artery / diagnostic imaging*
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Popliteal Artery / surgery
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Postoperative Complications / diagnostic imaging
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Postoperative Complications / surgery
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Thrombosis / complications
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Thrombosis / diagnostic imaging*
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Thrombosis / surgery
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Treatment Outcome