Late thrombosis of a Transcatheter aortic valve: The border between a proactive and reactive management

Abstract

Background: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. Case presentation: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. Conclusion: This unlucky case raises a word of caution about the safety of a reactive management.