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Left atrial appendage (LAA) clot & clot in left atrial is common finding in severe mitral stenosis specially in those patients who have atrial fibrillation,large LA size, spontaneous echo contrast.Clot in left atria is a contraindication to mitral balloon valvotomy.Patient’s having these clots had propensity for thromboembolic episodes .Recently we encounter a patient of critical mitral stenosis of rheumatic aetiology having left atria & appendage full of clot during TEE. #mitral #stenosis #rheu

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