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Mayo Clinic Proceedings: Innovations, Quality & Outcomes
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      Open Access

      Mobile Mitral and Aortic Valvular Masses in Patients With Hereditary Hemorrhagic Telangiectasia Receiving Intravenous Bevacizumab

      Mayo Clinic Proceedings: Innovations, Quality & Outcomes
      Vol. 4Issue 4p460–463Published online: May 10, 2020
      • Hasan Ahmad Albitar
      • Yahya Almodallal
      • Rick Nishimura
      • Vivek N. Iyer
      Cited in Scopus: 0
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        Bevacizumab is now an emerging treatment option for severe hereditary hemorrhagic telangiectasia–related bleeding including epistaxis and gastrointestinal tract bleeding. The impact of long-term intravenous bevacizumab therapy on cardiac structure and function is unknown. We describe 3 patients receiving intravenous bevacizumab therapy for severe hereditary hemorrhagic telangiectasia–related bleeding who were found to have abnormal mobile masses on the mitral valve (n=2) and aortic valve (n=1). The clinical impact of these findings is unknown and requires further study.
        Mobile Mitral and Aortic Valvular Masses in Patients With Hereditary Hemorrhagic Telangiectasia Receiving Intravenous Bevacizumab
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