A very unusual finding following an otherwise uneventful procedure

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.

Keywords

• Rheumatic mitral stenosis
• Mitral apparatus
• PTMC
• Thrombus