Prosthetic Aortic Valve Thrombosis: Surgery or Thrombolysis.

Publisher: Mymensingh Medical College Country of Publication: Bangladesh NLM ID: 9601799 Publication Model: Print Cited Medium: Internet ISSN: 2408-8757 (Electronic) Linking ISSN: 10224742 NLM ISO Abbreviation: Mymensingh Med J Subsets: MEDLINE

Original Publication: Mymensingh, Bangladesh : Mymensingh Medical College,

Heart Valve Diseases* ; Heart Valve Prosthesis*/adverse effects ; Thrombosis*/diagnosis ; Thrombosis*/etiology ; Thrombosis*/therapy; Aortic Valve/surgery ; Female ; Humans ; Thrombolytic Therapy/adverse effects

Mechanical prosthetic valve thrombosis is a serious complication which necessitates immediate intervention. The presenting signs and symptoms of this illness are somewhat variable, but physical examination and trans-esophageal-echocardiography enable rapid diagnosis. Valve replacement or thrombolysis in the correct hospital setting must be performed to avoid life-threatening complication without delay. But it is not proven entirely which therapy is superior. For any given patient, the risks of thrombolytic therapy, including bleeding, systemic embolism and failure to restore valvular function, must be weighed against the risks of surgical intervention. In spite of aggressive therapy, morbidity and mortality from prosthetic valve thrombosis and its treatment are not less indeed. This report describes the case of a woman with aortic prosthetic valves who presents with heart failure and evidence of severe prosthetic aortic valve dysfunction after a period of suboptimal anticoagulation.

Date Created: 20220703 Date Completed: 20220706 Latest Revision: 20220706

20231215

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