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Chirurgia 2008 October;21(5):255-7

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Organised thrombi on native mitral valve leaflets. Case report

Singh Rathore K. 1, Stuklis R. 1, Painter T. 2, Edwards J. 1

1 Department of Cardiothoracic Surgery Royal Adelaide Hospital, North Terrace Adelaide, Australia 2 Department of Cardiac Anaesthesia Royal Adelaide Hospital, North Terrace Adelaide, Australia


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A 24-year-old female presented with inferior wall myocardial infarction. Subsequent investigations revealed normal coronary arteries while irregular echogenic masses on her anterior and posterior mitral leaflets. Mitral valve annulus was calcified in P2 area. She had history of resolved cerebrovascular accident, parathyroid benign adenoma excision, polycystic ovary disease, type two diabetes mellitus hyperlipidemia and obesity. Endoscopic minimally invasive techniques were used to excise the masses. Native valve was preserved and masses were excised with supplementary cryoablation. Histology proved it as Organising thrombus. The patient made a quick recovery and has had no recurrence after one year follow-up.

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