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Learning from errors
CASE REPORT
Recurrent prosthetic heart valve thrombosis secondary to eosinophilia: a missed diagnosis
  1. Nitish Rai,
  2. Shyam S Kothari
  1. Department of Cardiology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor Shyam S Kothari, kothariss100{at}gmail.com

Summary

Prosthetic heart valve thrombosis (PHVT) is a major cause of morbidity and mortality in patients with mechanical heart valves. We present a case of recurrent PHVT associated with eosinophilia. A 17-year-old girl underwent aortic and mitral valve replacement for rheumatic heart disease. Over a period of 4 years, she had four episodes of PHVT despite oral anticoagulation with adequate INR. Her investigations revealed eosinophilia which was missed during the previous episodes. No further episodes of PHVT occurred after treatment of eosinophilia with steroids on limited follow-up.

  • valvar diseases

https://doi.org/10.1136/bcr-2017-221313

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    Footnotes

    • Contributors NR performed the clinical examination and managed the patient and wrote the paper. SSK managed the patient and revised the manuscript. Both the authors discussed the results and implications and commented on the manuscript at all stages.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.