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Published on: June 3, 2018
Cardiac Computed Tomography for Cardioembolic Stroke Evaluation in a Patient With a Mechanical Aortic Valve
Matthew A Soderstrom1, Mayank Patel1, J Taylor Adams2
1Department of Cardiology, Brooke Army Medical Center, Fort Sam Houston, Texas.
Insights
A patient with a mechanical aortic valve experienced a cardioembolic stroke despite anticoagulation. Cardiac computed tomography revealed subvalvular mobile pannus as the cause.
Area of Science:
- Cardiology
- Neurology
- Radiology
Background:
- Cardioembolic stroke is a significant cause of morbidity.
- Mechanical aortic valves are associated with thromboembolic complications.
- Patient compliance with anticoagulation is crucial for preventing valve-related events.
Abstract:
We present a case of cardioembolic stroke in a patient with a history of mechanical aortic valve who was compliant with anticoagulation medication. Cardiac computed tomography was used as an alternative, noninvasive means of evaluation for the cardioembolic source of stroke and identified subvalvular mobile pannus of the mechanical aortic valve.
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