Left atrial giant thrombus infected by Escherichia Coli. Case report.

Journal of Cardiothoracic Surgery
Panagiotis DedeiliasKonstantinos Bolos

Abstract

Left atrial thrombi are mostly related to mitral valve disease. The differential diagnosis of clots and myxomas in the left atrium is mostly based on echocardiography. Infection of intracardiac thrombi is extremely rare and mostly reported in ventricular clots or aneurysms following myocardial infarction. We present the case of a 65 year old female with a history of mitral valve disease and chronic atrial fibrillation who suffered repeated embolic strokes and a giant infected clot in the left atrium. Although the patient underwent prompt surgery with removal of the clot and valve replacement the complication of septic emboli to the CNS led her to death. To the best of our knowledge this is the second report of an infected left atrial thrombus. The case is a representative example of a neglected and undertreated patient with catastrophic consequences. Anticoagulant therapy in patients with mitral valve disease and atrial fibrillation should be applied according the currently available guidelines and standards in order to avoid analogous paradigms in the future. Mitral valve substitution should be considered in patients with mitral valve disease presenting thromboembolic complications. Surgery should be considered as the treatmen...Continue Reading

References

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Mar 27, 2007·Circulation Journal : Official Journal of the Japanese Circulation Society·Cheng-Hung LeeMing-Shyan Chern

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Citations

Apr 1, 2009·The American Journal of Medicine·Marisa HolubarArun Singh
Oct 12, 2010·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Mario Fernández-RuizJosé María Aguado
Sep 25, 2020·Clinical Nuclear Medicine·Ana María García VicenteÁngel Soriano Castrejón

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