Thrombosed prosthetic mitral valve
- 1Cardiothoracic Surgery Department, Fortis Malar Hospital, Chennai, India
- 2Cardiology Department, Fortis Malar Hospital, Chennai, India
- 3Internal Medicine Department, Fortis Malar Hospital, Chennai, India
- Correspondence to Dr Komarakshi Balakrishnan,
A 29-year-old woman presented with pulmonary oedema and low cardiac output. Her mitral valve was replaced 20 years back with a Sorin mechanical valve. She had stopped anticoagulants a month back on her own for excessive menstrual bleeding. Echo showed a gradient of 26 mm Hg across the valve with regurgitation. Fluroscopy confirmed limited disc opening of only 15° with incomplete disc closure (figures 1 and 2) (videos 1 and 2). She was reoperated using a St Jude mechanical valve. The excised prosthetic valve showed thrombus and pannus almost completely occluding the disc and severely restricting disc mobility (figures 3 and 4).
The authors wish to acknowledge Drs Suresh Rao, NK Kapadia, SK Chowdhry and Vijit Cherian for contributing to the clinical care of this patient.
Competing interests None.
Patient consent Not obtained.