Abstract
A 63-year-old woman underwent surgical mitral valvuloplasty due to rheumatic stenosis 36 years ago. Twelve years later, atrial fibrillation and recurrence of mitral stenosis were diagnosed. Mitral valve replacement was proposed but the patient refused. She had exertional dyspnoea but due to her sedentary lifestyle it did not significantly limit her regular physical activity. Six years ago, a left atrial thrombus was diagnosed. She persistently …
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