ABSTRACT
A patient in his 60s with a bioprosthetic aortic and mitral valve replacement presented with dyspnoea, tiredness and dizziness 2 years postoperatively. Transthoracic echocardiography showed mitral valve stenosis and increased pulmonary artery pressure suggesting bioprosthetic valve failure. Cardiac CT confirmed the diagnosis of bioprosthetic mitral valve thrombosis. Treatment with anticoagulation resulted in a remarkable improvement of the valve area and gradient and complete resolution of the thrombus. Herein, we report a case of rare bioprosthetic mitral valve thrombosis.
Subject(s)
Bioprosthesis , Heart Valve Prosthesis , Mitral Valve , Thrombosis , Tomography, X-Ray Computed , Humans , Male , Bioprosthesis/adverse effects , Thrombosis/diagnostic imaging , Thrombosis/etiology , Thrombosis/drug therapy , Heart Valve Prosthesis/adverse effects , Mitral Valve/diagnostic imaging , Mitral Valve/surgery , Mitral Valve Stenosis/surgery , Mitral Valve Stenosis/diagnostic imaging , Anticoagulants/therapeutic use , Echocardiography , Heart Valve Prosthesis Implantation/adverse effects , Middle Aged , Prosthesis FailureABSTRACT
Although most of the patients presenting with ischemic heart disease have chest pains, there are other rare presenting symptoms like cardiac cephalgia. In this report, we present a case of acute coronary syndrome with an only presentation of exertional headache. It was postulated as acute presentation of coronary artery disease, due to previous history of similar presentation associated with some chest pains with previous left coronary artery stenting. We present an unusual case with cardiac cephalgia in a young patient under the age of 50 which was not reported at that age before. There are four suggested mechanisms for this cardiac presentation.
ABSTRACT
The discovery is reported of a previously undescribed type of quadricuspid aortic valve, which was comprised of two equal-sized smaller cusps and two unequal-sized larger cusps. This was proposed as the eighth type of quadricuspid valve, type H. This anatomic variation is the only type of quadricuspid valve that could exist in theory, but has not been previously described. It would therefore, complete the morphological classification of this entity.
Subject(s)
Aortic Valve/abnormalities , Heart Defects, Congenital/diagnosis , Adult , Aortic Valve/diagnostic imaging , Echocardiography, Transesophageal , Heart Defects, Congenital/diagnostic imaging , Humans , MaleABSTRACT
The complicated case of a patient with recurrent culture-negative endocarditis with a history of repeated mitral valve replacement is described. Investigations disqualified common pathology but serology revealed a diagnosis of Q fever endocarditis. The ongoing problematic management of this patient is described, followed by a brief review of the clinical features, investigations and treatment of Q fever.
