rss
BMJ Case Reports 2018; doi:10.1136/bcr-2017-222937
  • Unusual association of diseases/symptoms
  • CASE REPORT

Reversible bioprosthetic valve thrombosis from eosinophilia

  1. Nitish Rai
  1. Department of Cardiology, Cardio-Thoracic Sciences Centre, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Professor S S Kothari, kothariss100{at}gmail.com
  • Accepted 3 January 2018
  • Published 8 February 2018

Summary

A 31-year-old man with a mitral bioprosthetic valve presented with recent worsening of exertional dyspnoea 7 years after the mitral valve replacement. Evaluation revealed an increased gradient across the thickened mitral bioprosthetic valve leaflets. Marked eosinophilia was present and was considered as a putative cause for bioprosthetic valve thrombosis. The treatment with systemic corticosteroids and oral anticoagulation led to complete resolution of symptoms with significant decrease in mitral bioprosthetic valve gradient and leaflet thinning. The case is reported to highlight the fact that eosinophilia may cause reversible bioprosthetic valve thrombosis.

Footnotes

  • Contributors SSK has contributed to the diagnosis and treatment of the patient. SD and NR have contributed to the planning and reporting of the case under the guidance of SSK.

  • Competing interests None declared.

  • Patient consent Obtained.

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

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog

Navigate This Article