Mechanical prosthetic mitral valve obstruction: Pannus or thrombus? A case report.
Radiol Case Rep
; 18(8): 2685-2688, 2023 Aug.
Article
em En
| MEDLINE
| ID: mdl-37293521
ABSTRACT
Substitution of a defective heart valve with a prosthetic heart valve turns the native disease for prosthesis-related complications. One of the most serious and dreaded complications is prosthetic valve obstruction. It is either the result of a thrombus or pannus formation. For the evaluation of prosthetic valve obstruction, transthoracic echography and fluoroscopy provide functional information but may not provide information about the etiology of the obstruction, unlike multidetector computed tomography (MDCT) which allows a more precise etiological diagnosis to guide the therapeutic attitude. Here, we report a case of a mechanical prosthetic mitral valve obstruction in a 45-year-old patient in whom the diagnosis of pannus was retained on the basis of clinical, biological, and imaging data. The differentiation between thrombus and pannus is crucial because it conditions the therapeutic attitude. Advanced imaging specially MDCT options should be considered whenever mechanical prosthesis valve obstruction is suspected.
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Base de dados:
MEDLINE
Idioma:
En
Revista:
Radiol Case Rep
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Marrocos