case_images: PMC3269355_01
case_images: A) Large thrombus in the left atrium. B) The surface of the left atrium was very rough even after the removal of thrombi.
case_images: 1749-8090-7-5-1.jpg
case_images: PMC3269355_01_1749-8090-7-5-1.jpg
case_images: F1
case_images: The left atrium was opened through the Waterston's groove to remove the multiple thrombi; however, the atrial surface was very rough even after removing the thrombi (Figure 1).
case_images: A) Transesophageal echocardiogram shows new thrombus formation in the left atrium (arrow). B) Left atrial thrombus was not seen in transthoracic echocardiogram (postoperative 3 months). LA: left atrium; LV: left ventricle.
case_images: 1749-8090-7-5-2.jpg
case_images: PMC3269355_01_1749-8090-7-5-2.jpg
case_images: F2
case_images: After this, no mitral regurgitation was observed by trans-esophageal echocardiogram, but a new thrombus was detected at the left atrium (Figure 2). While some signs of thrombus formation at the left atrium were noted during early follow-up, by three months post-surgery none were detected on the follow up echocardiogram (Figure 2).