Article Text

A 49-year-old with chest pain and bioprosthetic aortic valve
  1. Krithika Loganath1,
  2. James Shambrook2,
  3. Alastair James Moss3
  1. 1 Department of Cardiology, University Hospital Southampton, Southampton, UK
  2. 2 Department of Radiology, University Hospital Southampton, Southampton, UK
  3. 3 Department of Cardiology, University Hospital Southampton, Southampton, UK
  1. Correspondence to Dr Krithika Loganath, University Hospital Southampton, Southampton SO16 6YD, UK; krithika.loganath{at}


Question Which of the following diagnoses best explains this presentation?

  1. Iatrogenic left main stem ostial stenosis

  2. Saddle pulmonary embolism

  3. Mondor’s syndrome (thrombophlebitis of superficial veins of chest wall)

  4. Coronary thromboembolism

  5. Epicardial fat necrosis


  • Cardiac imaging and diagnostics
  • cardiac computer tomographic (ct) imaging
  • prosthetic heart valves

Statistics from


  • Patient consent for publication Not required.

  • Contributors KL contributed to planning and reporting of the work and is overall responsible for the content. JS contributed to the planning of the work. AJM contributed to the reporting of the work.All three authors finalised the article prior to submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement All data relevant to the study are included in the article or uploaded as supplementary information.

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