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Native aortic valve thrombosis: a rare cause of acute ischemia of the lower limb

^a Cardiovascular Surgery Department, Clinique Saint-Augustin, Avenue d'Arès, 33074 Bordeaux, France
^b National Health Institute, U441, Avenue du Haut-Lévèque, 33600 Pessac, France
^c Vascular Surgery Department, Hôpital Pasteur, 33212 Langon, France

^* Corresponding author. Address: Inserm U441, Avenue du Haut-Lévèque, 33600 Pessac, France. Tel.: +33-5-57-89-19-79; fax: +33-5-56-36-89-19-79. (E-mail: lesbarandon{at}wanadoo.fr).

Spontaneous native aortic valve thrombosis is an uncommon event occurring after heart valve disease, during cardiac catheterization, bacterial endocarditis, or as a hypercoagulative state as in antiphospholipid antibody syndrome. We report the case of a 55-year-old woman in whom thrombi developed on a native aortic valve with no predisposing cause. The thrombi were responsible for recurrent lower limb ischemia. Eighteen months after aortic valve replacement, the patient is doing well.

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