Heart 1998;79:198-199 ( February )
Case report
Left atrial thrombus as an early consequence of blunt chest
trauma
Department
of Cardiology, Aberdeen Royal Infirmary, Aberdeen AB9 2ZB, UK
Correspondence to: Dr Mahy.
Accepted for publication 6 November 1997
Thromboembolism is rarely considered in discussions of
the complications of blunt chest trauma. The few cases of
thromboembolism that have been reported in this setting have occurred
in association with significant myocardial damage. A previously fit 23 year old woman was admitted to the intensive care unit following a road traffic accident. A day later, left atrial thrombus was demonstrated by
transoesophageal echocardiography in the absence of any other evidence
of important myocardial injury. Anticoagulation with heparin was
cautiously introduced in spite of her extensive injuries, and there
were no consequent bleeding complications. At hospital discharge on day
18 she was entirely well. Full anticoagulation with warfarin was
continued for a further eight weeks at which time follow up
transoesophageal echocardiography showed complete resolution of the thrombus.
© 1998 by Heart
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