Issue: 2013, Vol. 18, No. 1

Kaverin N. D., Khrustalev O. A., Kaverin D. V.

FACTORS ASSOCIATED WITH LEFT AURICLE THROMBOSIS IN PATIENTS WITH RHEUMATIC MITRAL FAILURE

Keywords

rheumatic mitral failures, left auricle thrombosis, auricles fibrillation, echocardiography

Abstarct

The study was aimed to the examination of clinical and echocardiographic parameters associated with the presence of left auricle thrombosis in 91 patients with mitral failures of rheumatic etiology among them47 ones with left auricle thrombosis and 44 ones without thrombosis. Chronic heart failure and auricles fibrillation proved to be the clinical predictors of thrombogenesis, size increase of auricle and auricular atrii, decrease of the highest speed of blood flow in auricular atrii, presence of spontaneous contrast phenomenon, rise of pressure transmitral gradient and systolic pressure in pulmonary artery proved to be the echocardiographic predictors of thrombogenesis. The significance of thrombogenesis predictors differed in the groups of patients with auricles fibrillation and sinus rhythm. Transesophagus echocardiography performing was required to reveal some echocardiographic indices associated with left auricle thrombosis.