The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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Severe Calcification of the Left Atrial Wall with Left Atrial Thrombi and an Axillary Hematoma

심한 좌심방 석회화와 반복적인 좌심방 혈전 및 액와부 혈종

  • Seong, Seok-Woo (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Ahn, Kye-Taek (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Kim, Hye-Jin (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Cheon, Shin-Hye (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Jin, Seon-Ah (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Sin, Sung-Kyun (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine) ;
  • Jeong, Jin-Ok (Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine)
  • 성석우 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 안계택 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 김혜진 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 천신혜 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 진선아 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 신성균 (충남대학교 의학전문대학원 충남대학교병원 내과) ;
  • 정진옥 (충남대학교 의학전문대학원 충남대학교병원 내과)
  • Published : 2012.06.01
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Abstract

Left atrial wall calcification is frequently observed in patients with rheumatic valvular heart disease. However, massive left atrial wall calcification, so called porcelain or coconut atrium, with left atrium thrombi is very rare. Here, we describe the case of a 67-year-old male patient with porcelain atrium, recurrent left atrial thrombi, and a spontaneous axillary hematoma after mitral valve replacement and surgical thrombectomy due to rheumatic valvular heart disease. The patient underwent two valvular surgeries 20 years prior; therefore, we determined not to perform additional surgeries because of a high risk of morbidity, mortality, and the recurrence of atrial thrombi. The patient has been maintained on daily warfarin as an anti-thrombic therapy for more than 5 years without major embolic complications.

저자들은 23년 전에 류마티스성 승모판 협착증, 좌심방 혈전이 동반되어 기계 판막을 이용한 승모판 치환술 및 좌심방 혈전 제거술을 시행한 뒤에 진행하는 좌심방의 심한 심내막 석회화와 좌심방 혈전 및 액와부의 혈종이 발생한 1예를 경험하였다.

Keywords

References

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