We report a 51-year-old female with a history of a degenerated aortic
bioprosthesis and severe valvular dysfunction who was admitted for redo
valve surgery and unexpectedly developed acute flash pulmonary edema, a
dramatic form of cardiogenic pulmonary edema before coronary angiography
and was managed by timely and proper treatment.
Atrial fibrillation is associated with low-flow state and increased
thrombogenicity in the left atrium (LA). Multiple echocardiographic
presentations, including thrombosis, sludge, and smoke formation, have
been demonstrated in just one biplane transesophageal echocardiographic
view, along with normal structures, i.e., pectinate muscles and Coumadin
ridge, which are highly educational for cardiologists.
Atrial fibrillation is one of the major predisposing factors in developing left atrial thrombosis, leading to morbidity and mortality. Echocardiography plays a paramount role in this condition's detection and subsequent treatment.
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