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Regression of Large Atrial Thrombi and Coronary Neovascularizations with Conventional Anticoagulation in Mitral Stenosis

A Case Report

Luther T. Clark

Tak Kwan, MD, FACA

State University of New York Health Science Center at Brooklyn 450 Clarkson Avenue Box 1199 Brooklyn, NY 11203

The authors report a case of angiographically documented multiple coronary neovas cularizations originating from the left circumflex artery (LCX) and coursing toward multiple thrombi located in the left atrium in a patient with severe mitral stenosis. The thrombi as well as the neovascularizations underwent near-complete resolution with 4 weeks' anticoagulation therapy with warfarin maintaining an international normaliza tion ratio of 3.5. Percutaneous mitral balloon valvuloplasty was performed successfully without complications.

Angiology, Vol. 50, No. 10, 859-863 (1999)
DOI: 10.1177/000331979905001011


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