Join Us | Latest Articles | Contact

Journal Home


Editorial Board


Recent Articles


Submit to this journal


Special Issues


Current issue

Clinical Medical Image Library




Free Floating Ball Thrombus in the Left Atrium in a Child with Restrictive Cardiomyopathy

Iyad Al-Ammouri*



Department of Pediatrics, The University of Jordan, Jordan


*Corresponding author: Iyad AL-Ammouri, MD, Associate professor of pediatric cardiology, Department of Pediatrics, School of Medicine, The University of Jordan, Queen Rania street, Amman 11942, Jordan, Tel: 0096-2653-536-66 ext. 2767, Mobile: 0096-79906-0180, Fax: +96265-300-820, E-mail: Iyad72@hotmail.com
Clin Med Img Lib, CMIL-2-055, (Volume 2, Issue 8); ISSN: 2474-3682
Published: November 15, 2016
Citation: Al-Ammouri I (2016) Free Floating Ball Thrombus in the Left Atrium in a Child with Restrictive Cardiomyopathy. Clin Med Img Lib 2:055.
Copyright: © 2016 Al-Ammouri I. This is an open-access content distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Abstract

A large free floating ball thrombus was diagnosed in an 8-year-old girl with severe restrictive cardiomyopathy following transient loss of vision. The thrombus developed despite therapeutic anticoagulation. The child died two days later with a massive embolic stroke.

Idiopathic restrictive cardiomyopathy is a rare disease in children and generally has poor prognosis. The severely dilated atia, along with high incidence of atrial fibrillation results in significant risk of intra-atrial thrombosis [1]. However, free floating ball thrombus remains very rare in children. It is more common in patients with mitral valve stenosis and usually requires urgent surgical treatment [2]. Development of free floating ball thrombus was rarely reported in patients with restrictive cardiomyopathy, even in sinus rhythm [3].

An 8-year-old girl who was diagnosed with idiopathic restrictive cardiomyopathy since the age of 4 years, and has a previous stroke was followed at our institution. She was on anticoagulation with war far in with a stable international normalized ratio of 2-3. She has severe ascites for which she was treated with abdominal paracentesis on a monthly basis. She presented with transient loss of vision. Her echocardiogram showed a large free floating left atrial thrombus (Figure 1). The thrombus was bouncing off the mitral valve with each ventricular systole in supplementary material (online movie). The patient had a fatal major thromboembolic event three days after the diagnosis of the ball thrombus.


Acknowledgements

None.


Financial Support

This research received no specific grant from any funding agency, commercial, or not-for-profit sectors.


Conflict of Interest

None.


International Journal of Anesthetics and Anesthesiology (ISSN: 2377-4630)
International Journal of Blood Research and Disorders   (ISSN: 2469-5696)
International Journal of Brain Disorders and Treatment (ISSN: 2469-5866)
International Journal of Cancer and Clinical Research (ISSN: 2378-3419)
International Journal of Clinical Cardiology (ISSN: 2469-5696)
Journal of Clinical Gastroenterology and Treatment (ISSN: 2469-584X)
Clinical Medical Reviews and Case Reports (ISSN: 2378-3656)
Journal of Dermatology Research and Therapy (ISSN: 2469-5750)
International Journal of Diabetes and Clinical Research (ISSN: 2377-3634)
Journal of Family Medicine and Disease Prevention (ISSN: 2469-5793)
Journal of Genetics and Genome Research (ISSN: 2378-3648)
Journal of Geriatric Medicine and Gerontology (ISSN: 2469-5858)
International Journal of Immunology and Immunotherapy (ISSN: 2378-3672)
International Journal of Medical Nano Research (ISSN: 2378-3664)
International Journal of Neurology and Neurotherapy (ISSN: 2378-3001)
International Archives of Nursing and Health Care (ISSN: 2469-5823)
International Journal of Ophthalmology and Clinical Research (ISSN: 2378-346X)
International Journal of Oral and Dental Health (ISSN: 2469-5734)
International Journal of Pathology and Clinical Research (ISSN: 2469-5807)
International Journal of Pediatric Research (ISSN: 2469-5769)
International Journal of Respiratory and Pulmonary Medicine (ISSN: 2378-3516)
Journal of Rheumatic Diseases and Treatment (ISSN: 2469-5726)
International Journal of Sports and Exercise Medicine (ISSN: 2469-5718)
International Journal of Stem Cell Research & Therapy (ISSN: 2469-570X)
International Journal of Surgery Research and Practice (ISSN: 2378-3397)
Trauma Cases and Reviews (ISSN: 2469-5777)
International Archives of Urology and Complications (ISSN: 2469-5742)
International Journal of Virology and AIDS (ISSN: 2469-567X)
More Journals

Contact Us

ClinMed International Library | Science Resource Online LLC
3511 Silverside Road, Suite 105, Wilmington, DE 19810, USA
Email: contact@clinmedlib.org
 

Feedback

Get Email alerts
 
Creative Commons License
Open Access
by ClinMed International Library is licensed under a Creative Commons Attribution 4.0 International License based on a work at https://clinmedjournals.org/.
Copyright © 2017 ClinMed International Library. All Rights Reserved.