Mitral valve repair in a case with very large giant left atrial organised thrombus

Abstract

Large left atrial mural thrombus is usually observed with mitral valve disease.This mass has risks of sudden circulatory collapse and systemic embolization. The aim of mitral valve repair is to obtain a component mitral valve with the largest possible nonstenotic orifice and this repair represents a beter alternative than valve replacement.In this study ,we report a patient in whom a very large and organised thrombus in the left atrium with mitral valve stenosis and our successful surgical removal therapy.We considered the emergent surgery for the large left atrial mural thrombus. This approach at the time is the best treatment option. Mitral valve repair is now clearly established that restoration of a normal mitral valve function with reconstructive surgery is preferable to replacement with a device,whether bioprosthetic or mechanical.