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A Journal on Surgery

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Chirurgia 2012 October;25(5):375-7

language: English

Left atrial free-floating thrombus in an octogenarian detected by scheduled transesophageal echocardiography

Morishita A. 1, Tomioka H. 2, Katahira S. 3, Aizaki M. 1, Hoshino T. 4, Hanzawa K. 5

1 Department of Cardiovascular Surgery, Numata Neurosurgery Heart-Disease Hospital, Numata, Japan;
2 Department of Cardiovascular Surgery, Heart Institute of Japan, Tokyo Women’s Medical University, Tokyo, Japan;
3 Department of Surgery, Tokyo Rosai Hospital, Oota-ku, Japan;
4 Department of Anesthesiology, Minami Machida Hospital, Machida, Japan;
5 Department of Thoracic and Cardiovascular Surgery, Niigata University School of Medicine, Niigata, Japan


Left atrial free-floating thrombi increase the risk of catastrophic complications such as systemic embolization. We describe the case of a left atrial free-floating thrombus in an octogenarian with a history of stroke and atrial fibrillation; the thrombus was detected unexpectedly by scheduled transesophageal echocardiography. Surgical removal of the thrombus was performed successfully in spite of the patient,s great age. Routine transesophageal echocardiography therefore is an effective and indispensable tool for individualized management of patients with a history of stroke and atrial fibrillation.

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