Histopathological examination of the surgical specimens confirmed fragments of organized thrombus and adjacent normal myocardial wall. There was no evidence of active inflammation, hydaditosis, endocarditis, amyloidosis, tumor, vascular malformation and cultures of the specimen were negative for bacteria and fungus. Postoperative course was uneventful. Predischarge TTE showed no residual hematoma and an intact- patched LA wall with no mitral insufficency (Figure 4).
Figure 4: Apical four-chamber transthoracic echocardiogram, postoperative. *intact bovine pericardial patch; LA, Left Atrium; RA, Right Atrium; RV, Right Ventricle; LV, Left Ventricle.