[Left atrial thrombus. Its evolution with oral anticoagulation].

J A Sobrino; J E Centeno; I Maté; J M Mesa; J M Oliver; J Silvestre; F Domínguez; N Sobrino; J M Rico; R Rubiano

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PubMed · 1574628

[Left atrial thrombus. Its evolution with oral anticoagulation].

J A Sobrino·J E Centeno·I Maté·J M Mesa·J M Oliver·J Silvestre·F Domínguez·N Sobrino·J M Rico·R Rubiano

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Abstract

UNLABELLED: Left ventricular thrombi were found in 25 patients by two-dimensional echocardiography. All patients were in atrial fibrillation, 16 had mitral or mitroaortic valve diseases and nine mitral or mitroaortic bioprosthetic valves. Nine patients (36%) had history of arterial embolism. At diagnostic time, oral anticoagulation with coumadin was instaured in all the patients. Periodic clinic and echocardiography follow-up was performed. Left atrial thrombi either disappeared (18 patients [72%]) or reduced their size (one patient). Six patients with mitral stenosis were considered as candidates to percutaneous mitral valvuloplasty, which was performed in 4 patients whose thrombi disappeared with anticoagulation therapy in 6 months. During the follow-up one patient had cerebral embolism without sequelae. CONCLUSIONS: 1st. Patients with left atrial thrombi have high risk for arterial embolism. 2nd. Left atrial thrombi disappear in a high proportion after prescribing oral anticoagulation, which has some important therapeutic implications.

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Administration, Oral Aortic Valve Bioprosthesis Coumarins Drug Evaluation Echocardiography Heart Atria Heart Diseases Heart Valve Diseases Heart Valve Prosthesis Humans Mitral Valve Thrombosis Journal Article

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J A Sobrino, J E Centeno, I Maté, J M Mesa, J M Oliver, J Silvestre, F Domínguez, N Sobrino, J M Rico, R Rubiano. 1992. [Left atrial thrombus. Its evolution with oral anticoagulation].. https://pubmed.ncbi.nlm.nih.gov/1574628/

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