Key result
A 42-year-old male with a stenotic bicuspid aortic valve developed recurrent systemic embolism from valve thrombosis, which was diagnosed by echocardiography and treated surgically.
Case Report (n=1)
Thrombosis should be considered a possible complication in patients with bicuspid aortic valves, and echocardiography is crucial for early detection and treatment.
Valve thrombosis may cause embolism in stenotic bicuspid aortic valves; this case leaves open the need for prospective studies on detection and management.
Thrombosis in a native aortic valve is a rare complication which may lead to systemic embolization. A few cases of aortic thrombosis in previously abnormal valves have been described. In this report, we describe a 42-year-old male who suffered two acute ischaemic attacks, one in the upper right limb and another in the cerebral territory supplied by the left sylvian artery, from a thrombus that developed in a bicuspid and stenotic aortic valve. The diagnosis was made with transthoracic and transoesophageal echocardiography, and the patient subsequently underwent surgery. In cases of bicuspid aortic valves, we should think of thrombosis as a possible complication with its resulting risk of embolism, and assess such patients with transthoracic and transoesophageal echocardiography, thus enabling their early detection and treatment.
No takes yet. Share an insight, caveat, or question.
Mendez et al. (2008) conducted a case report in Thrombosis in a stenotic bicuspid aortic valve (n=1). Transthoracic and transoesophageal echocardiography followed by surgery was evaluated. A 42-year-old male with a stenotic bicuspid aortic valve developed recurrent systemic embolism from valve thrombosis, which was diagnosed by echocardiography and treated surgically.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: