Korean Circ J.  2021 May;51(5):471-473. 10.4070/kcj.2021.0015.

Subclinical Thrombosis on Mechanical Aortic Valve: Should Cardiac Computed Tomography Be Included in Routine Evaluation?

Affiliations
  • 1Division of Cardiology, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 2Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
  • 3Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea


Figure

  • Figure 1 Echocardiography and cardiac computed tomography of subclinical mechanical valve thrombosis. (A) Continuous-wave Doppler of the mechanical aortic valve on postoperative pre-discharge echocardiogram. (B) Continuous-wave Doppler of the mechanical aortic valve on 6-month follow-up echocardiogram. (C) Continuous-wave Doppler of the mechanical aortic valve after intravenous unfractionated heparin therapy for 5 days. (D-F) Low attenuating mass lesions on the right side of the mechanical aortic valve on 6-month follow-up CT. (G-I) Resolution of mass lesions on the right side of the mechanical aortic valve on the follow-up CT after intravenous unfractionated heparin therapy for 5 days.CT = computed tomography.


Reference

1. Andrews JPM, Cartlidge TR, Dweck MR, Moss AJ. Cardiac CT in prosthetic aortic valve complications. Br J Radiol. 2019; 92:20180237. PMID: 30074821.
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2. Lim WY, Lloyd G, Bhattacharyya S. Mechanical and surgical bioprosthetic valve thrombosis. Heart. 2017; 103:1934–1941. PMID: 28780576.
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3. Lim SJ, Koo HJ, Jung SC, et al. Sinus of Valsalva thrombosis detected on computed tomography after transcatheter aortic valve replacement. Korean Circ J. 2020; 50:572–582. PMID: 32281322.
Article
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