A very unusual finding following an otherwise uneventful procedure

Saleha Noorain, A.C. Nagamani, K.S. Subramani, Santosh Jadhav, Ravinandan Gowda, Ashita Barthur, C.N. Manjunath
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Abstract

A 30-year-old lady with severe Rheumatic Mitral stenosis underwent PTMC. Despite a good result, echocardiogram on post-op day one showed a mobile mass attached to the mitral chordae causing diagnostic dilemma between a thrombus and damaged chordae, despite undergoing a cardiac MR to assess the nature of the mass. However, the mass disappeared after 4 weeks of receiving oral anticoagulation, favouring the diagnosis of a thrombus on MV apparatus.

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这是一个非常不寻常的发现在一个平淡无奇的过程之后
一位患有严重风湿性二尖瓣狭窄的30岁女性接受了PTMC。尽管结果良好,但术后第一天的超声心动图显示二尖瓣索上有一个可移动的肿块,尽管进行了心脏MR来评估肿块的性质,但还是导致了血栓和受损索之间的诊断困境。然而,口服抗凝4周后肿块消失,有利于MV仪器血栓的诊断。
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