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CASE REPORT
Year : 2016  |  Volume : 26  |  Issue : 3  |  Page : 97-99

Multiple strokes secondary to an early thrombosis of aortic bioprosthesis on aspirin therapy


Department of Cardiology, Saint Joseph's Hospital, Paris, France

Correspondence Address:
Dr. Quentin Fischer
Groupe Hospitalier Paris Saint Joseph, 185 Rue Raymond Losserand, 75014 Paris
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2211-4122.187962

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We describe here a rare case of a 74-year-old man with essential thrombocythemia who presented an early nonobstructive thrombosis of aortic porcine bioprosthesis complicated by multiple ischemic strokes 14 days after the primary operation.Transesophageal echocardiography on the postoperative day (POD) 17 revealed a mobile, nonobstructive thrombosis inserted on the anterior cusp right of the bioprosthesis. Anticoagulation by intravenous unfractionated heparin was effective with disappearance of the thrombus with good aortic prosthesis function on the POD 20 without requiring reoperation. The patient had a complete recovery of neurological disorders and was discharged on POD 26.


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