Prosthetic heart valve thrombosis

Management of prosthetic valve thrombosis

Valvular re-replacement is the traditional therapy for prosthetic valve thrombosis[1–7]. Systemic fibrinolysis, leaving the valve substitute in place, and thrombectomy have been suggested as alternative therapeutic options. In order to weigh the risks against the benefits of surgical versus thrombolytic treatment, we performed a metaanalysis of data from 23 major studies reported since 1980 in ...

Prosthetic heart valve.

A 55-year-old invasive/clinical cardiologist worked full time, exercised regularly, and was asymptomatic. Two weeks previously, he had new onset of angina on exertion. Echocardiography/Doppler and cardiac catheterization confirmed the clinical assessment of severe aortic stenosis with a valve area of 0.5 cm/m. The aortic valve was tricuspid; left ventricular ejection fraction was 0.60. Coronary...

Successful Use of Two Thrombolytic Drugs in Prosthetic Mitral and Aortic Valve Thrombosis

Introduction: Prosthetic valve thrombosis is a rare and severe complication of valve replacement, most often encountered with a mechanical prosthesis. The significant morbidity and mortality associated with this condition warrant rapid diagnostic evaluation. Although surgery is the first-line therapy in symptomatic obstructive mechanical valve thrombosis, thrombolytic therapy has been used as a...

Acute thrombosis of a prosthetic mitral valve.

We report the case of a patient who was transferred to our hospital with acute thrombosis of a prosthetic mitral valve. Her admission INR was subtherapeutic. The transoesophageal echocardiographic images are presented. The patient underwent urgent reoperation and made a good recovery.

[Thrombolytic therapy in prosthetic valve thrombosis].