Log in with your email address username.


Attention doctorportal newsletter subscribers,

After December 2018, we will be moving elements from the doctorportal newsletter to MJA InSight newsletter and rebranding it to Insight+. If you’d like to continue to receive a newsletter covering the latest on research and perspectives in the medical industry, please subscribe to the Insight+ newsletter here.

As of January 2019, we will no longer be sending out the doctorportal email newsletter. The final issue of this newsletter will be distributed on 13 December 2018. Articles from this issue will be available to view online until 31 December 2018.

[Correspondence] Direct visualisation of thrombi for diagnosis of tissue valve thrombosis

Tarun Chakravarty and colleagues (June 17, 2017, p 2383)1 used restricted leaflet motion on CT as the principal surrogate measure to estimate the frequency of subclinical thrombosis after surgical and transcatheter aortic valve replacement. Although restricted leaflet motion (by fluoroscopy) is integral to the diagnosis of symptomatic mechanical heart valve thrombosis,2 it might be less sensitive than direct visualisation for the detection of tissue valve thrombosis, particularly in asymptomatic patients.