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Thorac Cardiovasc Surg 1980; 28(4): 291-294
DOI: 10.1055/s-2007-1022098
© Georg Thieme Verlag Stuttgart · New York

The Surgical Management of Left Atrial Thrombosis

J. I. Gallo1 , E. Artinano3 , M. F. Carrion1 , T. Colman2 , I. Gonzalez3 , J. A. Gutierrez1 , J. L. Vega1 , C. M. G. Duran1
  • 1Department of Cardiovascular Surgery,
  • 2Department of Radiology,
  • 3Department of Pathology, Centro Médico Valdecilla, Santander, Spain
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Publication History

Publication Date:
19 March 2008 (online)

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Summary

A series of 122 consecutive patients with left atrial thrombi is reviewed. Positive diagnosis was achieved in only 40 cases (36 %) based on the angiographic findings and the presence of coronary fistula. The main cause of mortality and morbidity was cerebrovascular embolism. A change in our surgical technique, including the occlusion of the mitral orifice, has so far eliminated this problem.

Key words

Left atrial thrombosis - Coronary fistula - Occlusion of mitral orifice

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