Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis

A 54-year-old woman with a mechanical mitral valve replacement presented with recurrent admissions for pneumonia and pulmonary edema. Multimodality imaging revealed mobile masses on the prosthesis and discrepant point of care and inpatient international normalized ratio levels owing to antiphospholi...

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Detalles Bibliográficos
Autores principales: Chitturi, Kalyan R., Castro, Miguel A., Salazar, Eric, Deavers, Michael, Chang, Su Min, Mahmarian, John J., Kurrelmeyer, Karla M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Mini-Focus Issue on Valvular Heart Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8298676/
https://www.ncbi.nlm.nih.gov/pubmed/34317289
http://dx.doi.org/10.1016/j.jaccas.2020.01.029
Descripción
Sumario:A 54-year-old woman with a mechanical mitral valve replacement presented with recurrent admissions for pneumonia and pulmonary edema. Multimodality imaging revealed mobile masses on the prosthesis and discrepant point of care and inpatient international normalized ratio levels owing to antiphospholipid antibody cross-reactivity on the outpatient assay. The prosthetic valve thromboses resolved with therapeutic anticoagulation. (Level of Difficulty: Beginner.)

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