Korean J Med.  2012 Jun;82(6):729-733.

Severe Calcification of the Left Atrial Wall with Left Atrial Thrombi and an Axillary Hematoma

Affiliations
  • 1Department of Internal Medicine, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. jojeong@cnu.ac.kr

Abstract

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.

Keyword

Calcification; Left atrium; Pathologic; Thrombosis

MeSH Terms

Aged
Cocos
Dental Porcelain
Heart Atria
Heart Valve Diseases
Hematoma
Humans
Male
Mitral Valve
Recurrence
Thrombectomy
Thrombosis
Warfarin
Dental Porcelain
Warfarin
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