TY - JOUR
T1 - Detection of left atrial thrombi by two-dimensional echocardiography and surgical correlation in 148 patients with mitral valve disease
AU - Bansal, Ramesh C.
AU - Heywood, J. Thomas
AU - Applegate, Patricia
AU - Jutzy, Kenneth R.
PY - 1989/7/15
Y1 - 1989/7/15
N2 - Left atria1 (LA) thrombus has long been recognized as a complication of rheumatic mitral valve disease.1-4 Until the development of 2-dimensional echocardiography, these thrombi were rarely diagnosed before surgery. There have been few published reports3,4 regarding the utility of 2-dimensional echocardiography in the detection of LA thrombi, and the sensitivity and specificity of 2-dimensional echocardiography in detecting them remain uncertain. We undertook a review of all adult patients undergoing mitral valve replacement during a 64-month period to determine (1) the sensitivity and specificity of 2-dimensional echocardiography in detecting LA thrombi; (2) the location and attachment of the thrombi, (3) whether LA thrombi can form in mitral valve disease other than rheumatic mitral stenosis; (4) the clinical features associated with the development of LA thrombi, that is, the presence of atria1 fibrillation and LA size; and (5) whether the presence of thrombus is associated with embolic events.
AB - Left atria1 (LA) thrombus has long been recognized as a complication of rheumatic mitral valve disease.1-4 Until the development of 2-dimensional echocardiography, these thrombi were rarely diagnosed before surgery. There have been few published reports3,4 regarding the utility of 2-dimensional echocardiography in the detection of LA thrombi, and the sensitivity and specificity of 2-dimensional echocardiography in detecting them remain uncertain. We undertook a review of all adult patients undergoing mitral valve replacement during a 64-month period to determine (1) the sensitivity and specificity of 2-dimensional echocardiography in detecting LA thrombi; (2) the location and attachment of the thrombi, (3) whether LA thrombi can form in mitral valve disease other than rheumatic mitral stenosis; (4) the clinical features associated with the development of LA thrombi, that is, the presence of atria1 fibrillation and LA size; and (5) whether the presence of thrombus is associated with embolic events.
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U2 - 10.1016/0002-9149(89)90470-0
DO - 10.1016/0002-9149(89)90470-0
M3 - Article
C2 - 2741835
AN - SCOPUS:0024328186
VL - 64
SP - 243
EP - 246
JO - American Journal of Cardiology
JF - American Journal of Cardiology
SN - 0002-9149
IS - 3
ER -