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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,

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Presentation on theme: "Left Atrium Ball Thrombus in a Patient With Hemorrhagic Cerebral Infarction  Shota Yasuda, MD, Shigehiko Tokunaga, MD, Yusuke Matsuki, MD, Hironao Okamoto,"— Presentation transcript:

1 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 (December 2013) DOI: /j.athoracsur Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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

3 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  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

4 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  , DOI: ( /j.athoracsur ) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

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

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