Browsing by Author "Daher, Ghassan E."

Now showing 1 - 1 of 1
  • Thumbnail Image
    Item
    Complete Resolution of a Large Bicuspid Aortic Valve Thrombus with Anticoagulation in Primary Antiphospholipid Syndrome
    (Frontiers, 2016-09-20) Rachwan, Rayan Jo; Daher, Ghassan E.; Fares, Jawad; Rachoin, Rachoin; Medicine, School of Medicine
    Native aortic valve thrombosis in primary antiphospholipid syndrome (APLS) is a rare entity. We describe a 38-year-old man who presented with neurological symptoms and a cardiac murmur. Transthoracic echocardiography detected a large bicuspid aortic valve thrombus. Laboratory evaluation showed the presence of antiphospholipid antibodies. Anticoagulation was started, and serial echocardiographic studies showed complete resolution of the aortic valve vegetation after 4 months. The patient improved clinically and had no residual symptoms. This report and review of the literature suggests that vegetations in APLS can be treated successfully with conservative treatment, regardless of their size.