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英文誌(2004-)

Journal of Medical Ultrasonics

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1996 - Vol.23

Vol.23 No.11

Case Report(症例報告)

(0815 - 0820)

左房内球状浮遊血栓の1例と本邦報告例の文献的考察

Floating Left Atrial Ball Thrombus: Case Report and Review of the Japanese Literature

後藤 尚己1, 皆川 太郎1, 橋本 和明1, 大熊 俊男1, 井上 清明2, 石黒 源之1, 平野 高弘1, 高間 郁尚2, 鈴木 由香利3

Naoki GOTOH1, Taro MINAGAWA1, Kazuaki HASHIMOTO1, Toshio OHKUMA1, Kiyoaki INOUE2, Motoyuki ISHIGURO1, Takahiro HIRANO1, Ikunao TAKAMA2, Yukari SUZUKI3

1平野総合病院循環器内科, 2平野総合病院放射線部, 3平野総合病院生理検査部

1Cardiovascular Division, Hirano General Hospital, 2Department of Radiology, Hirano General Hospital, 3Department of Physiological Examination, Hirano General Hospital

キーワード : Antithrombotic therapy, Left atrial ball thrombus, Mitral stenosis, Two-dimensional echocardiography

Our diagnoses of the condition of a 76-year old woman who was admitted to this institution with loss of consciousness and left hemiplegia was mitral stenosis and atrial fibrillation associated with cerebral thromboenbolism. A floating ball thrombus was observed in the left atrium after admission, on 11 November 1992, during two-dimensional echocardiography performed to locate intracardiac thrombi. The ball thrombus in the left atrium disappeared 18 days after the start of intensive antithrombotic therapy. Here we report this rare case of left atrial floating ball thrombus and review 50 additional cases published in the Japanese literature.