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Table 3 Summary of three patients with HALT

From: Hypo-attenuated leaflet thickening in surgically-implanted mitral bioprosthesis

 

Age (years)/Sex

Preoperative diagnosis

Procedure

Antithrombotic therapy at discharge

At the timing of detection

Degree of leaflet immobility in TTE (concordance with CT)

HALT area (mm2)

Clinical symptom

Max mean PG (mmHg) /MR

1

65/Male

PMR

MVR, CABG

Coumadin

Aspirin 3.6 years

Moderate

40.8

None

8/Trivial

2

74/Female

MS

Redo-MVR (previous ASD repair)

Coumadin and aspirin

Coumadin 2.3 years

Mild

40.3

None

5/Mild

3

72/Male

AS, MR

AVR, MVR, MAZE

Aspirin

None 4.1 years

Moderate

48.7

None

2.7/Mild

  1. AS Aortic stenosis, ASD Atrial septal defect, AVR Aortic valve replacement, CABG Coronary artery bypass graft, CT Computed tomography, MR Mitral regurgitation, HALT Hypo-attenuated leaflet thickening, MS Mitral stenosis, MVR Mitral valve replacement, PG Pressure gradient, PMR Papillary muscle rupture, TTE Transthoracic echocardiogram