Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis

A 54-year-old woman with a mechanical mitral valve replacement presented with recurrent admissions for pneumonia and pulmonary edema. Multimodality imaging revealed mobile masses on the prosthesis and discrepant point of care and inpatient international normalized ratio levels owing to antiphospholi...

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Main Authors:	Kalyan R. Chitturi, DO, Miguel A. Castro, MD, Eric Salazar, MD, Michael Deavers, MD, Su Min Chang, MD, John J. Mahmarian, MD, Karla M. Kurrelmeyer, MD
Format:	Article
Language:	English
Published:	Elsevier 2020-04-01
Series:	JACC: Case Reports
Subjects:	antiphospholipid syndrome antithrombotic therapies mitral valve disease nonbacterial thrombotic endocarditis prosthetic valve thrombosis
Online Access:	http://www.sciencedirect.com/science/article/pii/S2666084920301492

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spelling	doaj-4acbac78a4b64db68bc61cd8c73492862021-06-07T06:55:41ZengElsevierJACC: Case Reports2666-08492020-04-0124539543Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic EndocarditisKalyan R. Chitturi, DO0Miguel A. Castro, MD1Eric Salazar, MD2Michael Deavers, MD3Su Min Chang, MD4John J. Mahmarian, MD5Karla M. Kurrelmeyer, MD6Houston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasAddress for correspondence: Dr. Miguel A. Castro, Houston Methodist DeBakey Heart & Vascular Institute, 6550 Fannin Street, Suite 1901, Houston, Texas 77030.; Houston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasHouston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasHouston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasHouston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasHouston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasHouston Methodist DeBakey Heart & Vascular Institute, Houston Methodist, Houston, TexasA 54-year-old woman with a mechanical mitral valve replacement presented with recurrent admissions for pneumonia and pulmonary edema. Multimodality imaging revealed mobile masses on the prosthesis and discrepant point of care and inpatient international normalized ratio levels owing to antiphospholipid antibody cross-reactivity on the outpatient assay. The prosthetic valve thromboses resolved with therapeutic anticoagulation. (Level of Difficulty: Beginner.)http://www.sciencedirect.com/science/article/pii/S2666084920301492antiphospholipid syndromeantithrombotic therapiesmitral valve diseasenonbacterial thrombotic endocarditisprosthetic valve thrombosis
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Kalyan R. Chitturi, DO Miguel A. Castro, MD Eric Salazar, MD Michael Deavers, MD Su Min Chang, MD John J. Mahmarian, MD Karla M. Kurrelmeyer, MD
spellingShingle	Kalyan R. Chitturi, DO Miguel A. Castro, MD Eric Salazar, MD Michael Deavers, MD Su Min Chang, MD John J. Mahmarian, MD Karla M. Kurrelmeyer, MD Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis JACC: Case Reports antiphospholipid syndrome antithrombotic therapies mitral valve disease nonbacterial thrombotic endocarditis prosthetic valve thrombosis
author_facet	Kalyan R. Chitturi, DO Miguel A. Castro, MD Eric Salazar, MD Michael Deavers, MD Su Min Chang, MD John J. Mahmarian, MD Karla M. Kurrelmeyer, MD
author_sort	Kalyan R. Chitturi, DO
title	Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis
title_short	Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis
title_full	Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis
title_fullStr	Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis
title_full_unstemmed	Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis
title_sort	mechanical mitral valve thrombosis in a patient with prior nonbacterial thrombotic endocarditis
publisher	Elsevier
series	JACC: Case Reports
issn	2666-0849
publishDate	2020-04-01
description	A 54-year-old woman with a mechanical mitral valve replacement presented with recurrent admissions for pneumonia and pulmonary edema. Multimodality imaging revealed mobile masses on the prosthesis and discrepant point of care and inpatient international normalized ratio levels owing to antiphospholipid antibody cross-reactivity on the outpatient assay. The prosthetic valve thromboses resolved with therapeutic anticoagulation. (Level of Difficulty: Beginner.)
topic	antiphospholipid syndrome antithrombotic therapies mitral valve disease nonbacterial thrombotic endocarditis prosthetic valve thrombosis
url	http://www.sciencedirect.com/science/article/pii/S2666084920301492
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Mechanical Mitral Valve Thrombosis in a Patient With Prior Nonbacterial Thrombotic Endocarditis

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