Scholarlink

Background <p>Thrombosis of the native aortic valve is a rare, potentially embolic condition that has been increasingly identified with modern imaging and can present variably from myocardial infarction to stroke, limb ischemia, or be clinically silent. We present an idiopathic native aortic valve thrombus manifesting as suspected acute coronary syndrome.</p> Case presentation <p>An 84-year-old man with multiple cardiovascular risk factors and a history of opium use presented with chest pain, sweating, and vertigo. Initial evaluation showed severe three-vessel coronary artery disease and chronic cerebral ischemic changes. Echocardiography revealed impaired left ventricular function, an apical thrombus, and a suspicious thickening on the non-coronary cusp of the aortic valve. He underwent coronary artery bypass grafting, during which a firm valvular mass was identified and excised. Histopathology confirmed organized thrombus without malignancy or infection. The postoperative course was uneventful.</p> Conclusion <p>This case emphasizes that valve-attached thrombi can present atypically in elderly patients with vascular risk factors; targeted valve imaging and combined surgical removal plus anticoagulation may be required.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

A rare case of native thrombotic aortic valve thrombosis with acute coronary syndrome like presentation

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年5月19日

查看全文
  • Hamidreza Biranvand,
  • Akbar Shafiee,
  • Dorsa Ghorban Sarvi,
  • Shervin Mossavarali,
  • Mohammad Sahebjam,
  • Mehdi Dehghani Firoozabadi

摘要

Background

Thrombosis of the native aortic valve is a rare, potentially embolic condition that has been increasingly identified with modern imaging and can present variably from myocardial infarction to stroke, limb ischemia, or be clinically silent. We present an idiopathic native aortic valve thrombus manifesting as suspected acute coronary syndrome.

Case presentation

An 84-year-old man with multiple cardiovascular risk factors and a history of opium use presented with chest pain, sweating, and vertigo. Initial evaluation showed severe three-vessel coronary artery disease and chronic cerebral ischemic changes. Echocardiography revealed impaired left ventricular function, an apical thrombus, and a suspicious thickening on the non-coronary cusp of the aortic valve. He underwent coronary artery bypass grafting, during which a firm valvular mass was identified and excised. Histopathology confirmed organized thrombus without malignancy or infection. The postoperative course was uneventful.

Conclusion

This case emphasizes that valve-attached thrombi can present atypically in elderly patients with vascular risk factors; targeted valve imaging and combined surgical removal plus anticoagulation may be required.