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Updated: Jul 15, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
An unusual case of late bioprosthetic mitral valve thrombosis successfully managed with anticoagulation
Adel Aminian1, Pascal Lefebvre, Philippe Delmotte
1Division of Cardiology, Tivoli University Hospital, Max Buset Avenue 34, 7100 La Louvière, Belgium. adaminian@hotmail.com
Abstract:
In this report, we present the case of a patient with hemodynamically significant thrombosis of a mitral bioprosthesis occurring 11 years after valve replacement. The diagnosis was suspected on the basis of a subacute increase in the transvalvular gradient seen on transthoracic echocardiography and was con- firmed by transesophageal echocardiography which disclosed unusual features. A hypercoagulable work up showed raised plasma factor VIII levels. The patient was successfully managed with oral anticoagulation.
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