Pinball-Like Free-Floating Left Atrial Ball Thrombus Presenting with Hemiplegia: A Challenging Treatment Decision

Authors

  • Tolga Demir Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul http://orcid.org/0000-0002-0338-7007
  • Mehmet Umit Ergenoglu Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul
  • Nursen Tanrikulu Department of Anesthesiology, Kolan International Hospital, Istanbul
  • Ahmet Yasar Cizgici Department of Cardiology, Kolan International Hospital, Istanbul
  • Kemal Ilker Yildirim Department of Cardiology, Kolan International Hospital, Istanbul
  • Ergun Demirsoy Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul

DOI:

https://doi.org/10.1532/hsf.1344

Abstract

We describe a case of a patient with a history of chronic atrial fibrillation who presented with sudden onset of left hemiplegia. Nine months earlier the longstanding warfarin therapy had been suspended due to a hemorrhagic stroke. Transthoracic echocardiography revealed a large free-floating highly mobile mass in the left atrium and severe mitral valve regurgitation. Due to the potential risk of an embolic event or a hemodynamic collapse, a decision to carry out an emergency operation was made irrespective of the neurological condition of the patient. Unfortunately, the patient died on the 18th postoperative day after a freshly occurring hemorrhagic stroke.

Author Biographies

Tolga Demir, Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul

Department of Cardiovascular Surgery

Mehmet Umit Ergenoglu, Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul

Department of Cardiovascular Surgery

Nursen Tanrikulu, Department of Anesthesiology, Kolan International Hospital, Istanbul

Department of Anesthesiology

Ahmet Yasar Cizgici, Department of Cardiology, Kolan International Hospital, Istanbul

Department of Cardiology

Kemal Ilker Yildirim, Department of Cardiology, Kolan International Hospital, Istanbul

Department of Cardiology

Ergun Demirsoy, Department of Cardiovascular Surgery, Kolan International Hospital, Istanbul

Department of Cardiovascular Surgery

References

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Published

2015-12-18

How to Cite

Demir, T., Ergenoglu, M. U., Tanrikulu, N., Cizgici, A. Y., Yildirim, K. I., & Demirsoy, E. (2015). Pinball-Like Free-Floating Left Atrial Ball Thrombus Presenting with Hemiplegia: A Challenging Treatment Decision. The Heart Surgery Forum, 18(6), E263-E265. https://doi.org/10.1532/hsf.1344

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