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Keywords:

  • mitral stenosis;
  • left atrial appendage thrombus;
  • percutaneous balloon mitral valvuloplasty

Abstract

This report describes the management of a patient with severe symptomatic mitral stenosis and a large mobile thrombus extending from the left atrial appendage that was resistant to warfarin therapy. Percutaneous balloon mitral valvuloplasty was performed with cerebral protection using bilateral internal carotid artery filters to minimize the risk of embolic stroke. © 2006 Wiley-Liss, Inc.