Left atrial (LA) ball thrombus is a rare disorder. These ball thrombi
are generally associated with mitral stenosis, and the restricted mitr
al orifice encloses the free-floating thrombus in the LA. There is a p
otential for fatal systemic emboli or mitral valve orifice occlusion t
hat may result in sudden. death. We report the case of a patient with
tight rheumatic mitral stenosis in whom a ball thrombus was observed t
o bounce and rebound off the walls of LA on echocardiography. After th
e patient received anticoagulant therapy for 1 month, the thrombus was
not found at surgery.