A SHORT-TERM ASSESSMENT OF LA THROMBUS OCCURRENCE AMONG MITRAL STENOSIS (MS) PATIENTS REPORTED BY TEE (TRANSESOPHAGEAL ECHOCARDIOGRAPHY)

Introduction: Patients having mitral stenosis with atrial fibrillation (AF) are extra disposed to grow left atrial thrombus. General embolism, associated with LA thrombus is a familiar danger of Percutaneous Mitral Balloon Valvotomy of the mitral valve. Thus, the existence of LA thrombus is a contraindication to PMBV. Objective: The aim of research remained to distinguish rate of LA thrombus through transesophageal echocardiography (TEE) in patients of tight MS in whom transthoracic echocardiography (TTE) may not notice any LA thrombus. Patients and Methods: Our Short-term study was conducted at Allied Hospital, Faisalabad from January to August 2017. We appointed at about 110 enclosed patients having tight MS on the non-possibility successive sample. Information was poised after meting insertion measures. Patients were reserved in the research after attaining written up-to-date agreement. Signs were questioned by all the patients and the useful position was judged by the New York Heart Association class. Unhealthy patients remained pathologically achieved earlier from the process. TEE was used on a similar day prior to experiencing PMBV to see for mass in LA. Results: Average age of patients remained 33.21 years plus SD was 12.4 years. There were 41(35%) man patients and 69(65%) women patients. LA thrombus was existing in 42% of patients on TEE in those 20 were men patients (53.74%) and 23 were women patients (33.86%). Conclusion: Patients having mitral stenosis with AF are extra likely to grow LA thrombus. In the research, the rate of LA thrombus remained 42% noted, it is high. Because of the possible danger of embolization, it is powerfully suggested to achieve TEE in patients having standard TTE research prior to experiencing PMBV. The occurrence of the LA thrombus would be measured contraindication to PMBV of the mitral regulator. Keywords: Mitral Stenosis, Atrial Fibrillation, Percutaneous Mitral Balloon Valvotomy