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KMID : 0882420120820060729
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Korean Journal of Medicine
2012 Volume.82 No. 6 p.729 ~ p.733
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Severe Calcification of the Left Atrial Wall with Left Atrial Thrombi and an Axillary Hematoma
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Seong Seok-Woo
Ahn Kye-Taek
Kim Hye-Jin
Cheon Shin-Hye
Jin Seon-Ah
Sin Sung-Kyun
Jeong Jin-Ok
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Abstract
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Left atrial wall calcification is frequently observed in patients with rheumatic valvular heart disease. However, massive left atrial wall calcification, so called porcelain or coconut atrium, with left atrium thrombi is very rare. Here, we describe the case of a 67-year-old male patient with porcelain atrium, recurrent left atrial thrombi, and a spontaneous axillary hematoma after mitral valve replacement and surgical thrombectomy due to rheumatic valvular heart disease. The patient underwent two valvular surgeries 20 years prior; therefore, we determined not to perform additional surgeries because of a high risk of morbidity, mortality, and the recurrence of atrial thrombi. The patient has been maintained on daily warfarin as an anti-thrombic therapy for more than 5 years without major embolic complications.
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KEYWORD
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Calcification, Left atrium, Pathologic, Thrombosis
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