Case Report: Successful Giant Thrombus Removal and Mitral Valve Replacement in the Context of Mitral Stenosis Challenges in Developing Countries

A 55 year-old male with severe mitral valve stenosis presented with acute heart failure symptoms. Echocardiography revealed a giant thrombus in the left atrium. The patient underwent urgent mitral valve replacement and meticulous removal of the thrombus, characterized by a chronic layer adherent to the atrial wall and fresh thrombi. Postoperative recovery was uneventful, with significant symptomatic improvement and restoration of cardiac function. This case highlights the complexity and necessity of timely surgical intervention, particularly in managing intricate thrombus formations to prevent complications and enhance outcomes. And challenges in the management of mitral stenosis in developing countries highlighting the critical need for improved access to diagnostic tools, surgical facilities, and comprehensive cardiac care.