A case of Mechanical Pulmonary Valve Thrombosis
Abstract
Prosthetic valve thrombosis (PVT) is a rare but
dreadful complication of mechanical prosthetic valves.
Even though mechanical valves in pulmonary position
are rarely implanted, obstruction by thrombosis warrants
rapid diagnostic assessment and treatment. Transthoracic
echocardiography plays an important role than
transesophageal echocardiography because of anterior
location of pulmonary prosthetic valve. Thrombolytic
therapy is the mainstay of treatment for right sided
mechanical obstructive PVT. We are presenting a case of
pulmonary mechanical PVT which was diagnosed and
successfully thrombolysed with streptokinase.
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Thrombosis of bileaflet tricuspid valve prosthesis: clinical
spectrum and the role of nonsurgical treatment. Shapira Y,
Sagie A, Jortner R, Adler Y, Hirsch R. Am Heart J. 1999 Apr;
(4 Pt 1):721-5.
Thrombosis of prosthetic heart valves: diagnosis and
therapeutic considerations, Raymond Roudaut, Karim Serri,
and Stephane Lafitte, Heart. 2007 Jan; 93(1): 137–142.
Michelson, A.D., Bovill, E. & Andrew, M. (1995) Antithrombotic
therapy in children. Chest, 108, 506–522S.
Thrombolytic Therapy for Right-Sided Mechanical Pulmonic
and Tricuspid Valves: The Largest Survival Analysis to Date,
Maryam Taherkhani, MD, Seyed Reza Hashemi,
MD, Manouchehr Hekmat, MD, Morteza Safi, MD, Adineh
Taherkhani, MD, and Mohammad Reza Movahed, MD, PhD,
Tex Heart Inst J. 2015 Dec; 42(6): 543–547.
Accelerated Infusion of Streptokinase for the Treatment of
Left-Sided Prosthetic Valve Thrombosis A Randomized
Controlled Trial, Ganesan Karthikeyan, MD et al, Circulation:
1161/CIRCULATION AHA.109.876706.
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