Key result
Mitral valve replacement successfully treats cardiogenic shock from spontaneous native mitral valve thrombosis.
Why the study?
Spontaneous native mitral valve leaflet thrombosis in rheumatic mitral stenosis is an exceedingly rare and poorly understood phenomenon.
Case Report (n=1)
May support surgery in refractory native mitral thrombosis with shock; single case leaves open generalizability and optimal strategies.
Spontaneous native mitral valve leaflet thrombosis is an exceedingly rare phenomenon. Here, we describe the case of a 71-year-old woman with rheumatic mitral stenosis who presented with cardiogenic shock. She was found to have a thrombus on her native mitral valve despite being on anticoagulation and without a clear associated hypercoagulable comorbidity. The patient underwent mitral valve replacement with favorable outcomes. This case sheds light on the inflammatory and prothrombotic nature of rheumatic valvular disease.
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Karnib et al. (2022) conducted a case report in Rheumatic mitral stenosis (n=1). Mitral valve replacement was evaluated on Clinical outcomes. Mitral valve replacement resulted in favorable outcomes in a 71-year-old woman with cardiogenic shock due to spontaneous native mitral valve leaflet thrombosis despite anticoagulation.
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