The catastrophic association of prosthetic mitral valve thrombosis and hemorrhagic stroke

Authors

  • Humberto Morais Centro de Estudos Avançados em Educação e Formação Médica, Faculdade de Medicina da Universidade Agostinho Neto, Luanda, Angola & Departamento de Cardiologia. Hospital Militar Principal/Instituto Superior, Luanda, Angola
  • Mauer Gonçalves Centro de Estudos Avançados em Educação e Formação Médica, Faculdade de Medicina da Universidade Agostinho Neto, Luanda, Angola & Luanda Medical Center, Luanda, Angola

DOI:

https://doi.org/10.21542/gcsp.2023.31

Abstract

Prosthetic valve thrombosis is a serious complication of valve replacement associated with a high mortality rate. Stroke may be the first symptom of prosthetic valve thrombosis. We present the case of a patient who visited the emergency department with symptoms of dysarthria and left hemiparesis. An examination revealed an ischemic stroke with hemorrhagic transformation, stemming from a thrombosis of their mitral valve prosthesis, which progressed to the patient’s death. We emphasize the difficulty in the therapeutic and diagnostic management of these patients.

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Published

2023-09-10

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Section

Images in cardiology