Hidden crystals in the heart: A rare case of tophaceous aortic valve gout
CASE REPORT G. Stoitsev, St. Petrov, B. Penev, V. Gegouskov Abstract We present the case of a patient with combined valvular heart disease and a history of gout. Following surgical replacement of the aortic and mitral valves, histopathological examination revealed extensive deposition of monosodium urate (MSU) crystals within the aortic valve leaflets. The lesion exhibited a central crystalline core, surrounded by a corona zone and fibrous vascular tissue. The nature of the urate crystals was confirmed using the classical, but…
