Open access
Prosthetic Valve Thrombosis after Mitral Valve-in-Valve: Incidence and Management
Marcos Merula de Almeida
V. Rosa
J. H. Palma da Fonseca
Henrique Barbosa Ribeiro
R. O. Sampaio
F. Tarasoutchi
Abstract
A 73-year-old female patient with atrial fibrillation and dialysis-dependent kidney disease had a size 25 porcine bioprosthesis (second surgical replacement due to rheumatic fever) that had been dysfunctional for 4 years. She underwent transapical MViV (STS score 5.38) and developed PVT 60 days after the procedure, with an INR of 2.1. TEE revealed a hyperechoic image adherent to the lateral leaflet of the