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Angiology
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Non-Invasive Diagnosis of a Free-Floating Left Atrial Thrombus With Emphasis on Two- Dimensional Echocardiographic Features

Roman L. Szkopiec

Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

Jeremy R. Torstveit

Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

N. Sri Prakash

Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

Kenneth B. Desser

Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

Alberto Benchimol

Institute for Cardiovascular Disease and Division of Cardiovascular Surgery, Good Samaritan Hospital, Phoenix, Arizona

Two-dimensional echocardiography permitted identification of a large free-floating left atrial thrombus in a patient with mitral stenosis. A specific pattern of motion afforded its recognition and differentiation from mural left atrial thrombosis and tumors. Phonocardiographic tracings revealed a non- ejection systolic click and opening snap. A gated blood pool scintigram dis closed a left atrial filling defect. Subsequent left atrial angiography and left atriotomy confirmed the non-invasive findings.

Angiology, Vol. 34, No. 2, 102-110 (1983)
DOI: 10.1177/000331978303400204
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