Huge prosthetic mitral valve thrombus: Use of serial transesophageal echocardiography guidance in resolution
Journal of Heart Valve Disease, cilt.12, sa.1, ss.48-51, 2003 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 12 Sayı: 1
- Basım Tarihi: 2003
- Dergi Adı: Journal of Heart Valve Disease
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.48-51
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The case is presented of a 35-year-old woman with major thrombotic obstruction of a 29-mm St. Jude Medical mitral valve prosthesis. The thrombi were treated with successive intravenous fibrinolysis under transesophageal echocardiographic guidance, without complication. One large and obstructive thrombus with a long and mobile component, and other smaller and mobile thrombi were detected. These were gradually lysed after two successive administrations of streptokinase (1.5 × 106 units over 24 h), and one session of recombinant tissue type plasminogen inhibitor (100 mg over 6 h).