Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?

A 58-year-old female presented with new-onset dyspnea. Two years prior, she had undergone a transcatheter aortic valve replacement with a 26-mm Edwards Sapien 3 valve. Diagnostic testing included transthoracic and transesophageal echocardiograms that revealed increased transvalvular gradients and su...

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Main Authors: Alexander Arreguin, Akash Goyal, Konstantinos Dean Boudoulas, Adam Potter, Timothy Obarski
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/cric/9915565
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author Alexander Arreguin
Akash Goyal
Konstantinos Dean Boudoulas
Adam Potter
Timothy Obarski
author_facet Alexander Arreguin
Akash Goyal
Konstantinos Dean Boudoulas
Adam Potter
Timothy Obarski
author_sort Alexander Arreguin
collection DOAJ
description A 58-year-old female presented with new-onset dyspnea. Two years prior, she had undergone a transcatheter aortic valve replacement with a 26-mm Edwards Sapien 3 valve. Diagnostic testing included transthoracic and transesophageal echocardiograms that revealed increased transvalvular gradients and suspected prosthetic thrombosis. Laboratory testing included blood cultures that unexpectedly grew Streptococcus sanguinis. This case highlights the difficulty in differentiating prosthetic valve thrombosis from infective endocarditis and the possible therapeutic complications that could arise.
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publishDate 2025-01-01
publisher Wiley
record_format Article
series Case Reports in Cardiology
spelling doaj-art-6deb5b45139f4bc6874fb2c1f8a108d62025-08-20T01:50:30ZengWileyCase Reports in Cardiology2090-64122025-01-01202510.1155/cric/9915565Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?Alexander Arreguin0Akash Goyal1Konstantinos Dean Boudoulas2Adam Potter3Timothy Obarski4Department of Cardiovascular MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineDepartment of Cardiovascular MedicineA 58-year-old female presented with new-onset dyspnea. Two years prior, she had undergone a transcatheter aortic valve replacement with a 26-mm Edwards Sapien 3 valve. Diagnostic testing included transthoracic and transesophageal echocardiograms that revealed increased transvalvular gradients and suspected prosthetic thrombosis. Laboratory testing included blood cultures that unexpectedly grew Streptococcus sanguinis. This case highlights the difficulty in differentiating prosthetic valve thrombosis from infective endocarditis and the possible therapeutic complications that could arise.http://dx.doi.org/10.1155/cric/9915565
spellingShingle Alexander Arreguin
Akash Goyal
Konstantinos Dean Boudoulas
Adam Potter
Timothy Obarski
Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
Case Reports in Cardiology
title Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
title_full Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
title_fullStr Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
title_full_unstemmed Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
title_short Differentiating Mobile Masses on Transcatheter Aortic Valve: Thrombi or Vegetations?
title_sort differentiating mobile masses on transcatheter aortic valve thrombi or vegetations
url http://dx.doi.org/10.1155/cric/9915565
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