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You are here: Contents > 2018 > Volume 27 Number 2 March 2018 > THROMBOSIS EMBOLISM AND BLEEDING > Spontaneous and Simultaneous Bicuspid Aortic Valve and Aorta Thrombosis

Spontaneous and Simultaneous Bicuspid Aortic Valve and Aorta Thrombosis

Samuel A. Shabtaie1,3, Vaibhav R. Vaidya2, Hector I. Michelena2

1Department of Medicine, Mayo Clinic, Rochester, MN, USA
2Division of Cardiovascular Diseases, Department of Medicine, Mayo Clinic, Rochester, MN, USA
3Electronic correspondence: samshabtaie@gmail.com

The presence of spontaneous thrombosis of a bicuspid aortic valve (BAV) and the aorta is a rare phenomenon. The case is reported of a 41-year-old male with an embolic stroke secondary to a BAV thrombus in association with thoracic aorta thrombi, in the absence of infection, significant atherosclerotic disease, or thrombophilia. The cardiac and aortic thrombi were successfully treated with anticoagulation and resolved over a two-week period. Resolution was confirmed by repeat imaging.

 

Video 1: Bicuspid aortic valve with right-left cusp fusion, calcified raphe and highly mobile echogenic mass on the ventricular aspect of the conjoined cusp.

Video 2: Mid-esophageal TEE diastolic still-frame showing the echogenic mass in relation to the conjoined cusp.

Video 3: Biplane views of the mid-descending thoracic aorta revealed an echogenic mobile lobular mass.

The Journal of Heart Valve Disease 2018;27:173-177


Spontaneous and Simultaneous Bicuspid Aortic Valve and Aorta Thrombosis

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