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Mitral stenosis with left atrial thrombi

revealed atrial fibrillation with rapid ventricular response and right axis deviation. Transthoracic echocardiography in the apical four-chamber view revealed a heavily calcified and stenotic mitral valve with huge left atrial thrombi (Fig. 1). These findings were confirmed at surgery (Fig. 2). Mitral val- ve replacement and left atrial thrombectomy were performed. The patient subsequently recovered and was uneventfully dis- charged days later.