Images in cardiovascular medicine. Cardiac CT assessment of prosthetic aortic valve dysfunction secondary to acute thrombosis and response to thrombolysis.

@article{Chan2009ImagesIC,
  title={Images in cardiovascular medicine. Cardiac CT assessment of prosthetic aortic valve dysfunction secondary to acute thrombosis and response to thrombolysis.},
  author={Jonathan D. Chan and Mohamed Marwan and Taziano Schepis and Dieter Ropers and Leanne L Du and Stephan Achenbach},
  journal={Circulation},
  year={2009},
  volume={120 19},
  pages={1933-4}
}
A 58-year-old woman presented with a 2-week history of acute dyspnea in the setting of subtherapeutic warfarin anticoagulation (international normalized ratio, 1.7 on admission) with a history of previous St. Jude bileaflet aortic valve replacement (AVR) 5 years previously. Transthoracic echocardiography revealed severe elevation of the prosthetic aortic transvalvular gradient (peak velocity, 5 m/s; peak gradient, 125 mm Hg) with severe eccentric aortic regurgitation. The morphology of the… CONTINUE READING
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