Aortic biological valve thrombosis in an HIV positive patient |
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| Authors: | Achouh Paul Jemel Amine Chaudeurge Aurélie Redheuil Alban Zegdi Rachid Fabiani Jean-Noël |
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| Affiliation: | 1. Department of Cardiovascular Surgery, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Paris, France;2. Department of Cardiology, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Paris, France;3. Department of Cardiovascular Radiology, Hôpital Européen Georges Pompidou, Assistance Publique des Hôpitaux de Paris, Paris, France;4. Université Paris Descartes, Paris, France |
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| Abstract: | Biological aortic valve thrombosis is an exceptional complication. A 64-year-old patient positive for human immunodeficiency virus presented for syncope on exertion, 2 years after an aortic bioprosthetic valve replacement and double coronary artery bypass. Transvalvular aortic mean gradient was approximately 50 mm Hg on echocardiogram and catheterization. Cardiac computed tomography scan showed a limited opening of the bioprosthesis cusps. Surgical exploration revealed thrombosis of the three cusps on the aortic side, limiting the opening of the valve. No relation could be established between the patient's human immunodeficiency virus status and valve thrombosis. |
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