Left Atrium Ball Thrombus in a Patient With Hemorrhagic Cerebral Infarction Shota Yasuda, MD, Shigehiko Tokunaga, MD, Yusuke Matsuki, MD, Hironao Okamoto,

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Left Atrium Ball Thrombus in a Patient With Hemorrhagic Cerebral Infarction Shota Yasuda, MD, Shigehiko Tokunaga, MD, Yusuke Matsuki, MD, Hironao Okamoto, MD, Daisuke Machida, MD, Munetaka Masuda, MD The Annals of Thoracic Surgery Volume 96, Issue 6, Pages 2236-2238 (December 2013) DOI: 10.1016/j.athoracsur.2013.01.099 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative transesophageal echocardiogram. Huge mass in left atrium nearly obstructed mitral inlet in diastole phase. The Annals of Thoracic Surgery 2013 96, 2236-2238DOI: (10.1016/j.athoracsur.2013.01.099) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Preoperative computed tomographic scan of head. Hemorrhagic cerebral infarction in territory of right middle cerebral artery was revealed. The Annals of Thoracic Surgery 2013 96, 2236-2238DOI: (10.1016/j.athoracsur.2013.01.099) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Extracted specimen. (Left) Mass had several cracks and was divided into 2 parts. (Right) Pathologic findings: Mass consisted of fibrin, and ball thrombus was finally diagnosed. The Annals of Thoracic Surgery 2013 96, 2236-2238DOI: (10.1016/j.athoracsur.2013.01.099) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Changes in coagulation variables during surgical procedure. (ACT = activated clotting time; ECC = extracorporeal circulation.) The Annals of Thoracic Surgery 2013 96, 2236-2238DOI: (10.1016/j.athoracsur.2013.01.099) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions