Cardiovasc Imaging Asia.
2021 Apr;5(2):47-50. 10.22468/cvia.2021.00059.
An Uncommon Case of Bioprosthetic Mitral Valve Thrombosis Complicated by Intracerebral Haemorrhage
- Affiliations
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- 1Universiti Teknologi Mara, Jalan Hospital, Sungai Buloh, Selangor, Malaysia
- KMID: 2515036
- DOI: http://doi.org/10.22468/cvia.2021.00059
Abstract
- An 82-year-old man presented with bioprosthetic valve thrombosis (BVT) following a cardioembolic stroke due to mitral valve infective endocarditis. The patient had previously undergone bioprosthetic mitral valve replacement. After being discharged postoperatively, he represented with weakness due to a novel left-sided stroke and right-sided occipital intracerebral haemorrhage. Both transthoracic and transoesophageal echocardiography revealed BVT on the anterior portion of the prosthesis. Following a multi-disciplinary team discussion, it was agreed that thrombolytics and anticoagulation would be detrimental. The patient continued to worsen and eventually succumbed to congestive cardiac failure. BVT is uncommon, and patients often present with signs and symptoms of heart failure, shock, or embolism. There are no guidelines available for managing BVT in patients with concurrent intracerebral haemorrhage, which highlights the importance of multi-disciplinary decision-making.
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