Paroxysmal postural dyspnea related to a left atrial ball thrombus

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Paroxysmal postural dyspnea related to a left atrial ball thrombus Daniel Grandmougin, MD, Thierry Letourneau, MD, Jean-Pierre Favre, MD, Xavier Barral, MD  The Annals of Thoracic Surgery  Volume 74, Issue 5, Pages 1691-1694 (November 2002) DOI: 10.1016/S0003-4975(02)03858-4

Fig 1 Transesophageal echocardiogram showing a free-floating ball-thrombus (BT, dotted line) approximately 4 cm in diameter (A) filling the left atrium (LA) and (B) rebounding off the mitral valve (MV) with a partial and intermittent protrusion through the annulus. (LV= left ventricle.) The Annals of Thoracic Surgery 2002 74, 1691-1694DOI: (10.1016/S0003-4975(02)03858-4)

Fig 2 Operative view showing a complete, free, spherical, smooth mass located in the left atrium. Ball-thrombus after removal (inset). The Annals of Thoracic Surgery 2002 74, 1691-1694DOI: (10.1016/S0003-4975(02)03858-4)