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Infection of Left Atrial Thrombus Associated With Mitral Stenosis*: A Case Report

Hideki Okayama, MD; Sadao Kawasaki, MD; Yusaku Takagaki, MD; Hiroyuki Kawada, MD; Takumi Sumimoto, MD; Takeshi Hirayama, MD
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*From the Departments of Cardiology (Drs. Okayama, Kawada, and Sumimoto) and Cardiovascular Surgery (Drs. Kawasaki and Takagaki), Kitaishikai Hospital, Ozu, Ehime; and the Department of Internal Medicine (Dr. Hirayama), Yawatahama City General Hospital, Yawatahama, Ehime, Japan.

Correspondence to: Hideki Okayama, MD, Department of Cardiology, Kitaishikai Hospital, 2632–3 Tokunomori, Ozu, Ehime 795-0061, Japan



Chest. 2000;117(4):1201-1203. doi:10.1378/chest.117.4.1201
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We describe the first reported case of an infected left atrial thrombus. The case of the 65-year-old male patient in this report was associated with mitral stenosis and involved Escherichia coli, and was treated successfully with surgical resection of the infected thrombus. This case suggests that such infection should be considered as a possible complication of intracardiac thrombus when bacteremia is present.

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