Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management

BACKGROUND: Valve thrombosis – either biological or mechanical – is proved to increase patient’s morbidity and mortality. No consensus exist on the best management in such cases. CASE PRESENTATION: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic va...

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Detalles Bibliográficos
Autores principales: Gennari, Marco, Polvani, Gianluca, Pepi, Mauro, Arlati, Francesco, Annoni, Andrea, Agrifoglio, Marco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296042/
https://www.ncbi.nlm.nih.gov/pubmed/30558628
http://dx.doi.org/10.1186/s13019-018-0816-4
Descripción
Sumario:BACKGROUND: Valve thrombosis – either biological or mechanical – is proved to increase patient’s morbidity and mortality. No consensus exist on the best management in such cases. CASE PRESENTATION: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. CONCLUSION: This unlucky case raises a word of caution about the safety of a reactive management.

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