Source:http://linkedlifedata.com/resource/pubmed/id/12560909
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2003-1-31
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pubmed:abstractText |
A 50-year-old man was transferred to our hospital for investigation of cerebellar infarction, thought to have been caused by cardiac thromboembolism. We assumed that the cardiac thromboembolism had occurred as a late complication of a percutaneous transvenous mitral commissurotomy (PTMC) performed 7 years earlier. An echocardiogram and thoracic computed tomography revealed a protruding thrombus in the left atrium and an emergency operation was performed. The protruding thrombus was found to originate from the scar that penetrated into the intra-atrial muscular septum caused by the PTMC. After removing the thrombus, the scar was covered with normal endothelium and the mitral valve was replaced with a 27-mm St. Jude Medical prosthetic valve. We think that the thromboembolism was caused by mitral valve restenosis, atrial fibrillation, and endothelial injury in the interatrial septum during PTMC. Therefore, long-term follow-up and appropriate medication is recommended after PTMC, since restenosis and thrombosis are likely to occur.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:issn |
0941-1291
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
33
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
55-7
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pubmed:dateRevised |
2006-8-3
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pubmed:meshHeading |
pubmed-meshheading:12560909-Cerebral Infarction,
pubmed-meshheading:12560909-Echocardiography,
pubmed-meshheading:12560909-Heart Atria,
pubmed-meshheading:12560909-Heart Diseases,
pubmed-meshheading:12560909-Humans,
pubmed-meshheading:12560909-Male,
pubmed-meshheading:12560909-Middle Aged,
pubmed-meshheading:12560909-Mitral Valve Insufficiency,
pubmed-meshheading:12560909-Postoperative Complications,
pubmed-meshheading:12560909-Thromboembolism,
pubmed-meshheading:12560909-Thrombosis,
pubmed-meshheading:12560909-Time Factors
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pubmed:year |
2003
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pubmed:articleTitle |
Protruding thrombus in the left atrium found 7 years after percutaneous transvenous mitral commissurotomy: report of a case.
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pubmed:affiliation |
Department of Cardiovascular Surgery, Nobeoka Prefectural Hospital, 2-1-10 Shinkouji, Nobeoka, Miyazaki 882-0835, Japan.
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pubmed:publicationType |
Journal Article,
Case Reports
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