Marco Moscarelli: When CT Reveals Thrombosis After TAVI
Marco Moscarelli, Cardiac Surgeon at GVM Care and Research, shared a post on LinkedIn:
”Leaflet and perivalvular thrombosis after TAVI can be indeed reversible (or perhaps preventable!) with proper anticoagulation.
We followed a relatively young patient with type 0 bicuspid aortic stenosis who underwent TAVI.
Completely asymptomatic.
Very poor echocardiographic window.
As part of the EndoTAVI project, MDCT was performed during follow-up to assess early prosthetic valve changes.
Unexpectedly, CT showed a giant sinus thrombus together with HALT involving one leaflet.
The patient was treated with warfarin, with INR maintained within target, and underwent repeat MDCT after 6 months.
Almost complete resolution of the sinus thrombus. Complete resolution of leaflet thrombosis.
Again, MDCT matters after TAVI.”
Proceed to the video attached to the post.
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