Thrombosis of the bioprosthetic mitral valve: a case report
The present case appears in the Journal of the Association of Physicians of India. A 45 years old female, had undergone mitral valve replacement for severe MR, with bioprosthetic valve, two and half months back.

She was on Warfarin, 4 mg once a day. She presented with breathlessness for three day. She also had paroxysmal nocturnal dyspnoea.

On examination her BP was 100/70 mm Hg, heart rate 124/ min, respiratory rate 24/min. On cardiovascular examination, she had long mid diastolic murmur at apex.

Echocardiography showed evidence of thrombus over the prosthetic mitral valve. Peak gradient across mitral valve was 19mm Hg and mean gradient was 6 mm Hg. Her INR was 1.3. She was thrombolized with streptokinase and improved.

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