Highlights the diagnostic and management challenges of mechanical mitral valve obstruction in the setting of acute cerebral hemorrhage.
May support individualized decisions in mechanical valve patients with hemorrhage; leaves open standardized protocols.
Obstruction of mechanical valve prostheses is a rare but potentially lethal complication following valve replacement surgery. Identifying the etiology and differentiation between thrombus, pannus, and vegetation obstructing the valve prosthesis can pose a diagnostic challenge. We report a patient who had an acute cerebral hemorrhage, developed a progressive mass lesion obstructing his mechanical mitral valve, and discuss contemporary diagnostic and management strategies.
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Tang et al. (2005) studied this question.
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