Complex cause of ischaemic stroke in patient after mitral bioprosthesis implantation- A case report

Katarzyna Kosmalska,Marcin Fihalkowski,Krzyszof Jarmoszewicz,A.z Hrynkiewicz

doi:10.15761/jccr.1000130

Abstract

Complex cause of ischaemic stroke in patient after mitral bioprosthesis implantation- A case report

Highlights

We present the history of 60-years-old woman with mitral and aortic bioprosthesis that have been implanted together with left atrial appendage closure
In postoperative period a typical anticoagulant was implemented - low molecular weight heparin followed by vitamin K antagonist under international normalized ratio (INR) control
The risk is even higher after valve surgery [2]

Summary

Introduction

We present the history of 60-years-old woman with mitral and aortic bioprosthesis that have been implanted together with left atrial appendage closure. A 60-years-old woman with a history of caseous mitral annulus calcification, severe mitral regurgitation, moderate aortic stenosis and regurgitation, have had implantation of mitral and aortic bioprosthesis together with left atrial appendage closure (Figure 1). In postoperative period a typical anticoagulant was implemented - low molecular weight heparin followed by vitamin K antagonist under international normalized ratio (INR) control. In transoesophageal imaging there was small thrombus in lateral part of mitral annulus (Figure 2).

Results

Conclusion