DISAPPEARING INTRACARDIAC THROMBI IN BOTH ATRIA AFTER MUMPS IN A PATIENT WITH TURNER SYNDROME

A girl with Turner syndrome was admitted with an acute cerebrovascular occlusive disease 15 days after mumps infection. Imaging techniques s uch as Doppler echocardiography, computed tomography and angiography o f the heart revealed the existence of masses in both atria. Eight days after the last radiologic study the patient had an operation, but no masses were found in either atrium. It was thought that atrial thrombi , probably formed after viral infection, had broken down to form embol i and disappeared. It is proposed that the patients with congenital ca rdiopathy should be regularly examined after viral infections for poss ible intracardiac thrombus formation. If such a mass is found and the decision is to operate, the existence of the mass must be confirmed ev en in the operating room just before intervention.