Intense Microbubbles Mimicking Mobile Thrombus in a Patient with Prosthetic Mitral Valve

AUTHORS

Fatma Yılmaz Coşkun 1 , * , Orhan Özer 1 , Gökhan Altunbaş 2

1 Gaziantep University, Cardiology Department, Gaziantep, Turkey

2

How to Cite: Coşkun F Y , Özer O , Altunbaş G. Intense Microbubbles Mimicking Mobile Thrombus in a Patient with Prosthetic Mitral Valve, Int Cardio Res J. 2017 ; 11(2):e11185.

ARTICLE INFORMATION

International Cardiovascular Research Journal: 11 (2); e11185
Published Online: June 30, 2017
Article Type: Case Report
Received: May 31, 2017
Accepted: April 08, 2016

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Abstract

Microbubbles have been presumed as gaseous emboli, which originate during mechanical heart valve closure, but are not seen in bioprosthetic valves. In this report, we presented a cluster of microbubbles mimicking mobile thrombus in a patient with mechanical mitral valve prosthesis. A 30-year-old female with a history of implanted mechanical valve at the mitral position underwent a routine examination. She was asymptomatic and her physical examination was unremarkable. Transthoracic echocardiography showed a mobile thrombus-like mass on the ventricular side of the prosthetic mitral valve moving into the left ventricular outflow tract. However, close examination of images indicated that the mass was in fact intense microbubbles mimicking thrombus. Intense mobile microbubbles can be misdiagnosed as a mobile thrombus. We recommend and underscore the importance of detailed echocardiographic examination in case of mobile mass to avoid misdiagnosis in patients with mechanical heart valves.

Keywords

Microbubble,Thrombosis,Mitral Valve

© 0, Shiraz University of Medical Sciences.

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