Journal of Yeungnam Medical Science

Yeungnam University College of Medicine, Yeungnam University Institute Medical Science (영남대 의대 학술지 편집위원회)
권호 표지

A case of Free-floating Left Atrial Ball Thrombus in Mitral Stenosis

승모판 협착증과 동반된 자유롭게 부유하는 좌심방 구형혈전 1례

  • Kim, Young-Jin (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Lee, Tea-Il (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Choi, Kyo-Won (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Kang, Seung-Ho (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Sin, Dong-Gu (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Kim, Young-Jo (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Shim, Bong-Sup (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Lee, Hyun-Woo (Department of Internal medicine, College of Medicine, Yeungnam University) ;
  • Hong, Eun-Pyo (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Dong-Hyup (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jung-Cheul (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University) ;
  • Han, Sung-Sae (Department of Thoracic and Cardiovascular Surgery, College of Medicine, Yeungnam University)
  • 김영진 (영남대학교 의과대학 내과학교실) ;
  • 이태일 (영남대학교 의과대학 내과학교실) ;
  • 최교원 (영남대학교 의과대학 내과학교실) ;
  • 강승호 (영남대학교 의과대학 내과학교실) ;
  • 신동구 (영남대학교 의과대학 내과학교실) ;
  • 김영조 (영남대학교 의과대학 내과학교실) ;
  • 심봉섭 (영남대학교 의과대학 내과학교실) ;
  • 이현우 (영남대학교 의과대학 내과학교실) ;
  • 홍은표 (영남대학교 의과대학 흉부외과학교실) ;
  • 이동협 (영남대학교 의과대학 흉부외과학교실) ;
  • 이정철 (영남대학교 의과대학 흉부외과학교실) ;
  • 한승세 (영남대학교 의과대학 흉부외과학교실)
  • Published : 1993.06.30
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Abstract

A free-floating ball thrombus in the left atrium is a rare complication of the mitral valvular disease. A 53-year-old man was admitted for pain and paresthesia on both legs. On admission he had auscultatory sign of mitral stenosis and mitral regurgitation, and the roentgenogram of his chest revealed a slight pulmonary venous congestion, enlargement of the pulmonary conus and cardiomegaly. Laboratory findings including complete blood counts, coagulation studies and blood chemistry were normal. An echocardiographic examination revealed a mitral stenosis and a free-floating ball thrombus in the left atrium. We performed the emergent open heart surgery for removal of the ball thrombus and mitral replacement successfully with Duromedics 29 mm valve. The size of thrombus was $39{\times}32{\times}30$ mm.

저자들은 승모판 협착증과 동반된 자유롭고 부유하는 좌심방내의 구형혈전은 1례를 치험하였기에 그 희귀성에 비추어 문헌 고찰과 함께 보고하는 바이다.

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