Timely Management of Obstructive Prosthetic Valve Thrombosis

Obstructive bioprosthetic valve thrombosis is associated with hemodynamic compromise, and evidence on management with fibrinolysis is limited. Echocardiography is required to assess thrombus size and its effects on valve gradients, area, and leaflet motion. This case demonstrates use of echocardiogr...

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Autores principales: Rrapo Kaso, Elona, Noutong, Steve A., Denlinger, LeAnn N., Morsy, Mohammed, Kramer, Christopher M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Valvular Heart Disease Mini-Focus Issue
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289097/
https://www.ncbi.nlm.nih.gov/pubmed/34316860
http://dx.doi.org/10.1016/j.jaccas.2019.10.002
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author Rrapo Kaso, Elona
Noutong, Steve A.
Denlinger, LeAnn N.
Morsy, Mohammed
Kramer, Christopher M.
author_facet Rrapo Kaso, Elona
Noutong, Steve A.
Denlinger, LeAnn N.
Morsy, Mohammed
Kramer, Christopher M.
author_sort Rrapo Kaso, Elona
collection PubMed
description Obstructive bioprosthetic valve thrombosis is associated with hemodynamic compromise, and evidence on management with fibrinolysis is limited. Echocardiography is required to assess thrombus size and its effects on valve gradients, area, and leaflet motion. This case demonstrates use of echocardiography guided slow-infusion low-dose fibrinolytic therapy in a patient with obstructive bioprosthetic valve thrombosis. (Level of Difficulty: Intermediate.)
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spelling pubmed-82890972021-07-26 Timely Management of Obstructive Prosthetic Valve Thrombosis Rrapo Kaso, Elona Noutong, Steve A. Denlinger, LeAnn N. Morsy, Mohammed Kramer, Christopher M. JACC Case Rep Valvular Heart Disease Mini-Focus Issue Obstructive bioprosthetic valve thrombosis is associated with hemodynamic compromise, and evidence on management with fibrinolysis is limited. Echocardiography is required to assess thrombus size and its effects on valve gradients, area, and leaflet motion. This case demonstrates use of echocardiography guided slow-infusion low-dose fibrinolytic therapy in a patient with obstructive bioprosthetic valve thrombosis. (Level of Difficulty: Intermediate.) Elsevier 2019-11-20 /pmc/articles/PMC8289097/ /pubmed/34316860 http://dx.doi.org/10.1016/j.jaccas.2019.10.002 Text en © 2019 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Valvular Heart Disease Mini-Focus Issue
Rrapo Kaso, Elona
Noutong, Steve A.
Denlinger, LeAnn N.
Morsy, Mohammed
Kramer, Christopher M.
Timely Management of Obstructive Prosthetic Valve Thrombosis
title Timely Management of Obstructive Prosthetic Valve Thrombosis
title_full Timely Management of Obstructive Prosthetic Valve Thrombosis
title_fullStr Timely Management of Obstructive Prosthetic Valve Thrombosis
title_full_unstemmed Timely Management of Obstructive Prosthetic Valve Thrombosis
title_short Timely Management of Obstructive Prosthetic Valve Thrombosis
title_sort timely management of obstructive prosthetic valve thrombosis
topic Valvular Heart Disease Mini-Focus Issue
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8289097/
https://www.ncbi.nlm.nih.gov/pubmed/34316860
http://dx.doi.org/10.1016/j.jaccas.2019.10.002
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