10th August 2020

A 76-year-old patient who underwent an aortic valve replacement last year attends for his routine follow-up appointment

A 76-year-old patient who underwent an aortic valve replacement last year attends for his routine follow-up appointment. On examination, his chest is clear and you cannot hear any murmurs. However, you notice bulbous uniform swellings of his distal digits and a softening and loss of normal angle of the nail bed.

For the patient above, please select the SINGLE most likely underlying cause of the presentation. Select ONE option from the list above.