Case Report: Thrombosed Mitral Leaflets in a Patient With Rheumatic Heart Disease: A Rare Clinical Case
Naser Khezerlou, Mehdi Taghizadeh, Mohammadjavad Sotoudeheian, Razieh Parizad
TL;DR
An 82-year-old man with rheumatic heart disease had a rare case of thrombosed mitral valve leaflets, which improved with anticoagulation therapy.
Contribution
This case report highlights the rare occurrence of thrombosed mitral leaflets in rheumatic heart disease and the effectiveness of anticoagulation therapy.
Findings
Transesophageal echocardiography identified a thrombus on the mitral valve leaflets.
Anticoagulation therapy led to significant resolution of the thrombus.
The case suggests thrombolytic and anticoagulation treatments may be effective in such rare scenarios.
Abstract
Rheumatic heart disease remains a significant contributor to cardiovascular morbidity. We report the case of an 82‐year‐old man who presented with acute right‐sided hemiplegia. Transesophageal echocardiography (TEE) showed a thrombus attached to the mitral valve leaflets (MVL). Anticoagulation therapy was initiated, leading to significant thrombus resolution. It spotlights the potential efficacy of thrombolytic and anticoagulation. Committee Approval Number: IR.TBZMED.REC.1403.1018
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Taxonomy
TopicsCardiac Valve Diseases and Treatments · Streptococcal Infections and Treatments · Atrial Fibrillation Management and Outcomes