Abstract
Mass detached partially or completely from left atrial wall, may produce systemic embolus. If embolus is too large and mitral stenosis is coincidentally present, embolus may obstruct inflow tract of the left ventricle and result in rapid decrease of cardiac output and sudden death suhsequently.
We experienced a 59-year-old male victim with sudden cardiac arrest from obstruction(“hole-in-one embolus”) of stenotic mitral valve by left atrial mass(ball thrombus), which was detected by transesophageal echocardiography during cardiopulmonary resuscitation.
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