(b)(6).It was reported that a 22mm sjm mechanical aortic heart valve was successfully implanted in the patient in 2008.The patient has the following comorbidities: non-ischemic cardiomyopathy, congenital heart defect and atrial fibrillation.The patient was hospitalized on (b)(6) 2021 due to a stroke.It was noted per review of the medical records provided that a thrombus was observed on one of the sjm valve leaflets during a transesophageal echocardiogram (tee) completed on (b)(6) 2021.There was elevated gradients noted on the aortic prosthesis, there was a echodensity visible and overall the entire aortic valve looked brighter with no discrete leaflet movement.The thrombus was noted on the left mechanical valve leaflet, possibly on the sewing ring.The patient was deemed high risk for surgery, so the patient's heparin was stopped and they were treated with tissue plasminogen activator (tpa).The etiology of the suspected stroke likely embolic.The patient was discharged from the hospital on (b)(6) 2021.No additional information was provided.
|