Original Research Article I Volume 5 I Issue 3 I 2017

Comparative study between thrombolytic therapy and surgery in 30 cases of acute left sided prosthetic valve thrombosis

Mohamed Fawzy Critical Care Department, Cairo University, Egypt ; Ayman El Naggar; Gada Kazamel; Mohamed Fawzy

Biolife; 2017, 5(3), pp 361-369

DOI:https://doi.org/10.5281/zenodo.7371013

Abstract:

Prosthetic valve thrombosis is a potentially life-threatening complication associated with high morbidity and mortality. Transthorasic and transoesophageal echocardiography play an important role to the diagnosis and provides incremental information about the optimal treatment strategy. Guidelines differ on whether surgical treatment or fibrinolysis should be the treatment of choice for the management of left-sided prosthetic valve thrombosis

Keywords:

Prosthetic valve thrombosis, Transthorasic, transoesophageal echocardiography.

References:

  1. Roudaut R, Lafitte S, Roudaut MF, et al. Fibrinolysis of mechanical prosthetic valve thrombosis: A single-center study of 127 cases. J. Am. Coll. Cardiol. 2003;41(4):653-658.
  2. Lengyel M, Fuster V, Keltai M, et al. Guidelines for management of left-sided prosthetic valve thrombosis: A role for thrombolytic therapy. J. Am. Coll. Cardiol. 1997;30(6):1521-1526.
  3. Bonow RO, Carabello BA, Kanu C, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Manage. Circulation 2006;114(5):e84-231.
  4. Thorburn CW, Morgan JJ, Shanahan MX, Chang VP. Long-term results of tricuspid valve replacement and the problem of prosthetic valve thrombosis. Am. J. Cardiol. 1983;51(7):1128-1132.
  5. Yin W, Alemu Y, Affeld K, et al. Flow-induced platelet activation in bileaflet and monoleaflet mechanical heart valves. Ann Biomed Eng 2004; 32: 1058–1066.
  6. Leguyader A, Watanabe R, Berbé J, et al. Platelet activation after aortic prosthetic valve surgery. Interact Cardiovasc Thorac Surg 2006; 5: 60–64
  7. Girdhar G, Bluestein D. Biological effects of dynamic shear stress in cardiovascular pathologies and devices. Expert Rev Med Device 2008; 5: 167–181
  8. Sun JC, Davidson MJ, Lamy A, et al. Antithrombotic management of patients with prosthetic heart valves: current evidence and future trends. Lancet 2009; 374: 565–576.
  9. Grunkemeier GL, Li HH, Naftel DC, et al. Long-term performance of heart valve prostheses. Curr Probl Cardiol 2000; 25: 73–154 
  10. Aminian A, Lefebvre P, Delmotte P, et al. An unusual case of late bioprosthetic mitral valve thrombosis successfully managed with anticoagulation. Eur J Echocardiogr 2008; 9: 399–400. 
  11. Piper C, Hering D, Horstkotte D. Prosthetic valve thrombosis: Predisposition and diagnosis. Eur. Hear. Journal, Suppl. 2001;3(Q).
  12. Montero CG, Mula N, Brugos R, Tellez G, Figuera D. Thrombectomy of the Bjork-Shiley prosthetic valve revisited: long-term results. Ann.Thorac.Surg. 1989;48(0003-4975 (Print)):824-828...

Article Dates:

Received: 4 July 2017; Accepted: 27 August 2017; Published: 4 September 2017

How To Cite:

Mohamed Fawzy, Ayman El Naggar, Gada Kazamel, & Mohamed Fawzy. (2022). Comparative study between thrombolytic therapy and surgery in 30 cases of acute left sided prosthetic valve thrombosis. Biolife, 5(3), 361–369. https://doi.org/10.5281/zenodo.7371013

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