[Native aortic valve thrombus revealed by routine echocardiography: a case report]

J Cardiol. 1997 Oct;30(4):211-6.
[Article in Japanese]

Abstract

A 75-year-old man presented with palpitations due to atrial flutter. Transthoracic echocardiography revealed a mobile aortic valve mass (17 mm in diameter) attached to the non-coronary cusp of the aortic valve. There was no evidence of hypercoagulative state. Computed tomography showed old cerebral infarction in the territory supplied by the right middle cerebral artery. The mass was surgically resected. The aortic valve was preserved because there were no organic changes in the valve. Histological examination demonstrated an organized thrombus. Only three cases of thrombus attached to the normal native aortic valve have been reported. Native aortic valve thrombus may be important in the differential diagnosis of aortic valve mass.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Aortic Valve* / surgery
  • Echocardiography*
  • Echocardiography, Transesophageal
  • Heart Valve Diseases / diagnostic imaging
  • Heart Valve Diseases / surgery
  • Humans
  • Male
  • Thrombosis / diagnostic imaging*
  • Thrombosis / surgery