RT Journal Article SR Electronic T1 Variable diastolic rumbling murmur caused by floating left atrial thrombus. JF British Heart Journal JO Heart FD BMJ Publishing Group Ltd and British Cardiovascular Society SP 190 OP 192 DO 10.1136/hrt.50.2.190 VO 50 IS 2 A1 C C Chen A1 M C Hsiung A1 B N Chiang YR 1983 UL http://heart.bmj.com/content/50/2/190.abstract AB A 53 year old man with a history of rheumatic mitral stenosis was admitted to hospital because of recurrent fainting spells. Auscultation showed a variable diastolic rumbling murmur. Simultaneous echo- and phonocardiograms demonstrated a floating left atrial thrombus; when this passed into the left ventricular inflow tract and obstructed the mitral valve orifice the diastolic murmur disappeared.