Skip to main content
Log in

Detection of acute thrombosis of mitral tilting disk prosthesis by transesophageal echocardiography

  • Artibles
  • Published:
The International Journal of Cardiac Imaging Aims and scope Submit manuscript

Abstract

Acute thrombosis is a very severe complication in the replacement of mechanical prostheses and most often fatal if immediate treatment is not implemented. We describe a case in which an acute thrombosis of a mitral tilting disk prosthesis was adequately diagnosed by transesophageal echocardiography and immediate surgical replacement of the dysfunctioning device was possible without catheterizing the patient.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wright JO, Hiratzka LF, Brandt B, Doty DB. Thrombosis of the Bjork-Shiley prosthesis: illustrative cases and review of the literature. J Thorac Cardiovasc Surg 1982; 84: 138–44.

    Google Scholar 

  2. Alvarez Ayuso L, Juffe A, Rufilanchas JJ, Babib F, Burgos R, Figuera D. Thrombectomy: surgical treatment of the thrombosed Bjork-Shiley prosthesis;report of seven cases and review of the literature. J Thorac Cardiovasc Surg 1982; 84: 906–10.

    Google Scholar 

  3. Kontos GJ, Hartzell HV, Orszulak TA, Puga FJ, Pluth JR, Danielson GK. Thrombotic obstruction of disk valves: clinical recognition and surgical management. Ann Thorac Surg 1989; 48: 60–5.

    Google Scholar 

  4. Scott PJ, Ettles DF, Wharton GA, Williams GJ. The value of transesophagealechocardiography in the investigation of acute prosthetic vaive dysfunction. Clin Cardiol 1990; 13: 541–4.

    Google Scholar 

  5. Schoen FJ, Levy RJ, Piehler HR. Pathological considerations in replacement cardiac valves. CVP 1992; 1: 29–52.

    Google Scholar 

  6. Martinell J, Jiméenez A, Ràbago G, Artiz V, Fraile J, Farré J. Mechanical cardiac valve thrombosis: is thrombectomy justified? Circulation 1991; 84 (suppl III): III70-III75.

    Google Scholar 

  7. Tsai K, Lin PJ, Chang C, Chu J, Chang J, Kao C, Hsieh M. Surgical management of thrombotic disc valve. Ann Thorac Surg 1993; 55: 98–101.

    Google Scholar 

  8. Moreno Cabrai RJ, McNamara JJ, Mamiya RJ, Brainard SC, Chung GKT. Acute thrombotic obstruction with Bjork-Shiley valve: diagnostic and surgical considerations. J Thorac Cardiovasc Surg 1978; 75: 321–30.

    Google Scholar 

  9. Evans RW, O'Rourke RA, McGranahan GC. Thromboembolic complications of anticoagulant withdrawal (Abstract). Circulation 1968; 38 (Suppl 6): 74.

    Google Scholar 

  10. Van der Brink RBA, Visser CA, Basart DCG, Duren DR, de Jong AP, Dunning AJ. Comparison of transthoracic and transesophageal color Doppler flow imaging in patients with mechanical prosthesis in the mitral valve position. Am J Cardiol 1989; 63: 1471–4.

    Google Scholar 

  11. Taams MA, Gussenhoven EJ, Cahalan MK, Roelandt J, van Herwerden LA, The HK, Bom N, de Jong N. Transesophageal Doppler color flow imaging in the detection of native and Bjork-Shiley mitral valve regurgitation. J Am Coll Cardiol 1989; 13: 95–9.

    Google Scholar 

  12. Nellessen U, Schnittger I, Appleton CP, Masuyama T, Bolger A, Fischell TA, Tye T, Popp RL. Transesophageal two-dimensional echocardiography and color Doppler flow velocity mapping in the evaluation of cardiac valve prosthesis. Circulation 1988; 78: 848–55.

    Google Scholar 

  13. Cassidy JM, Smith MD, Gurley JC, Booth DC, Cater AL, Salley RK. Detection of thrombosis of St. Jude Medical prostheses by transesophageal echocardiography. Am J Cardiol 1991; 122: 1466–9.

    Google Scholar 

  14. Silber H, Khan SS, Matloff JM, Chaux A, De Robertis M, Gray R. The St. Jude Valve; thrombolysis as the first line of therapy for cardiac valve thrombosis. Circulation 1993; 87: 30–7.

    Google Scholar 

  15. Byrd CL, Yahr WZ, Greenberg JJ. Long-term results of 'simple' thrombectomy for thrombosed Bjork-Shiley aortic valve prostheses. Ann Thorac Surg 1975; 20: 265–73.

    Google Scholar 

  16. Montero CG, Mula N, Brugos R, Pradas R, Figuera D. Thrombectomy of the Bjork-Shiley prosthetic valve revisited: long-term results. Ann Thorac Surg 1989; 48: 824–8.

    Google Scholar 

  17. Cottogni M, Antretter H, Furtwangler W. Complete prosthetic valve thrombosis despite several thrombolytic treatments after tricuspid valve replacement. Thorac Cardiovasc Surgeon 1993; 41: 199–201.

    Google Scholar 

  18. Dzavik V, Cohen G, Chan KL. Role of transesophageal echocardiography in the diagnosis and management of prosthetic valve thrombosis. J Am Coll Cardiol 1991; 18: 1829–33.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lus, P., Giacomin, A., Cavarzerani, A. et al. Detection of acute thrombosis of mitral tilting disk prosthesis by transesophageal echocardiography. Int J Cardiac Imag 10, 305–308 (1994). https://doi.org/10.1007/BF01137722

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01137722

Key words

Navigation