# Case Report: Thrombosed Mitral Leaflets in a Patient With Rheumatic Heart Disease: A Rare Clinical Case

## 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.

## Key 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