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Báo cáo y học: " Left atrial thrombus following bilobectomy: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Left atrial thrombus following bilobectomy: a case report | Teskin et al. Journal of Medical Case Reports 2010 4 71 http www.jmedicalcasereports.eom content 4 1 71 jAg JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Left atrial thrombus following bilobectomy a case report Onder Teskin Yeậim Bicer Ugur Kaya Sertac Cicek Abstract Introduction Left atrial free floating ball thrombus is a relatively rare event especially without mitral valve disease. Case presentation A 61-year-old Turkish man was admitted to our hospital with a thrombus mass in his left atrium. Five months earlier he had undergone right bilobectomy and superior bronchoplasty due to squamous cell carcinoma in the lung. The patient had no evidence of cardiac disease except atrial fibrillation and there were no defined embolizations. The thrombus mass was surgically removed. The patient was discharged from hospital on the sixth postoperative day. Conclusion Surgery with cardiopulmonary bypass is a safe method for treatment. The patient should be medicated with warfarin especially in the presence of atrial fibrillation. Introduction A free thrombus in the left atrium without concomitant mitral valve disease is a rare finding. This report presents a patient who developed progressive dyspnea five months after right bilobectomy. A left atrial thrombus was diagnosed after computed tomography CT and transesophageal echocardiography. The first case with left atrial thrombus was reported in 1814. Currently the use of CT magnetic resonance imaging MRI and echocardiography have made the diagnosis much easier. Case presentation The patient a 61-year-old Turkish man had undergone right bilobectomy and superior bronchoplasty due to squamous cell carcinoma in the lung five months earlier. He received seven sessions of chemotherapy in the postoperative period. In the last month he started to experience dyspnea which increased progressively. During control measurements it was seen from electrocardiogram ECG findings that he had atrial fibrillation and left bundle .