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European Journal of Echocardiography Advance Access published online on April 13, 2007
European Journal of Echocardiography, doi:10.1016/j.euje.2007.02.001
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org

An unusual case of late bioprosthetic mitral valve thrombosis successfully managed with anticoagulation

Adel Aminian*, Pascal Lefebvre, Philippe Delmotte and Alain Friart

Division of Cardiology, Tivoli University Hospital, Max Buset Avenue 34, 7100 La Louvière, Belgium

Received 14 September 2006; accepted after revision 4 February 2007.

* Corresponding author. Tel: +32 64 277391; fax: +32 64 276392. E-mail address: adaminian{at}hotmail.com


  Abstract

In this report, we present the case of a patient with hemodynamically significant thrombosis of a mitral bioprosthesis occurring 11 years after valve replacement. The diagnosis was suspected on the basis of a subacute increase in the transvalvular gradient seen on transthoracic echocardiography and was con- firmed by transesophageal echocardiography which disclosed unusual features. A hypercoagulable work up showed raised plasma factor VIII levels. The patient was successfully managed with oral anticoagulation.

Keywords: Bioprosthetic; Thrombosis; Anticoagulation


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