The Characteristics and Outcomes of Native Aortic Valve Thrombosis

Shortness of breath with an aortic valve mass

“…Hypercoagulable states such as antiphospholipid syndrome were the most common cause of native aortic valve thrombosis. 1 Degree of mobility may help differentiate between tumors and non-tumors. Cardiac MRI with gadolinium can help delineate the etiology of cardiac masses further.…”

“…The most common presentation of an aortic valve thrombus is myocardial infarction. 1 Cardiology consultation should be obtained, and patient admitted to the appropriate monitored unit. Management may include anticoagulation and possible surgical intervention based on underlying diagnosis.…”

“…Management may include anticoagulation and possible surgical intervention based on underlying diagnosis. 1 Management should be performed in conjunction with cardiology as this is an incredibly rare entity with complex management that is still not well delineated.…”

“…Hypercoagulable states such as antiphospholipid syndrome were the most common cause of native aortic valve thrombosis. 1 …”

Native Aortic Valve Thrombus Complicating Intermittent Occlusion of a Left Main Coronary Artery

“…Because routine coronary angiography is not enough when evaluating the culprit lesion in situations suggestive of LMOO, clinicians should consider other modalities such as TTE, transesophageal echocardiography (TEE), aortography, computer tomography (CT), and magnetic resonance imaging (MRI). Indeed, the sensitivity for the detection of NAVT was 100% for TEE and aortography individually, whereas TTE and coronary angiography along showed sensitivities of 59% and 29%, respectively ( 5 ). Imaging studies should be performed in patients as soon as possible after percutaneous coronary intervention, especially when patients are suspected of having left main disease based on an ECG but, no lesions on angiography.…”