Multiple Choice Question of the Week : Echo-02 : [Answer]


70-year-old male, recent onset dyspnea,

What do you see in particular about this mechanical mitral valve?
A) Pannus
B) Thrombosis
C) Vegetation
D) Hyperechogenic mass

Right answer is: B) Thrombosis.

This is a case of prosthetic mitral valve thrombosis with a complete block of only one disc. Differentiation between thrombosis and pannus is difficult.
The recent onset of dyspnoea, embolism or subtherapeutic anticoagulation are indicative of prosthetic valve thrombosis.

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