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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