Hematoma of a congenitally bicuspid aortic valve in a patient with polycythemia vera and the antiphospholipid antibody syndrome.
We present a novel case of a hematoma involving a congenitally bicuspid aortic valve. The patient was a 47-year-old woman with polycythemia vera and antiphospholipid antibody syndrome. She was treated with anagrelide for thrombocytosis. The patient developed a valvular hematoma which caused clinically significant aortic stenosis and regurgitation. Consequently, the patient underwent surgery with insertion of a porcine bioprosthesis. Eighteen months postoperatively the patient developed a large prosthetic thrombus with severe aortic stenosis requiring reoperation.
Webber
Geoffrey V
GV
Department of Cardiology Mount Sinai Services at Elmhurst Hospital Center, Mount Sinai School of Medicine, New York, New York, USA.
Fallon
John
J
Silbiger
Jeffrey J
JJ
D016736:Antiphospholipid Syndrome / Q000000981:diagnostic imaging* / Q000601:surgery; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006406:Hematoma / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D011087:Polycythemia Vera / Q000000981:diagnostic imaging* / Q000601:surgery; D014463:Ultrasonography