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

Authors

Fatma Yılmaz Coşkun1,*, Orhan Özer1, Gökhan Altunbaş2
1Gaziantep University, Cardiology Department, Gaziantep, Turkey
*Corresponding Author: Corresponding author: Fatma Yılmaz Coşkun, Gaziantep University, Cardiology Department, Gaziantep, Turkey Email: [email protected]

International Cardiovascular Research Journal:Vol. 11, issue 2; e11185
Published online:Jun 30, 2017
Article type:Case Report
Received:May 31, 2017
Accepted:Apr 08, 2016
How to Cite:Coşkun FY, Özer O, Altunbaş G. Intense Microbubbles Mimicking Mobile Thrombus in a Patient with Prosthetic Mitral Valve. Int Cardiovasc Res J. 2017;11(2):e11185. doi:

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.

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Copyright

© 2017, Author(s). This open-access article is available under the Creative Commons Attribution 4.0 (CC BY 4.0) International License (https://creativecommons.org/licenses/by/4.0/), which allows for unrestricted use, distribution, and reproduction in any medium, provided that the original work is properly cited.

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