Skip to main content

Advertisement

SpringerLink
Log in

Recurrent thrombotic obstruction of a mechanical prosthetic valve in tricuspid position

Value of cinefluoroscopy in diagnosis and follow-up of thrombolytic treatment

Rezidivierende thrombotische Obstruktion einer mechanischen Trikuspidalklappenprothese

Wert der Cinefluoroskopie für Diagnose und Nachsorge einer Thrombolysetherapie

  • e-Herz: Case study
  • Published:
Herz Aims and scope Submit manuscript

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

Access this article

Log in via an institution

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

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Bassand JP, Becque O, Bernard Y (1982) Thrombose postoperatoire precoce (10 jour) d’une prothese de Starr mitrale. Arch Mal Coeur 75:349–356

    CAS  PubMed  Google Scholar 

  2. Kuzrok S, Singh AK, Most A, Williams DO (1987) Thrombolytic therapy for prosthetic cardiac valve thrombosis. J Am Coll Cardiol 9:592–598

    Article  Google Scholar 

  3. Roudaut R, Lafitte S, Rodaut MF et al (2003) Fibrinolysis of mechanical prosthetic valve thrombosis: a single center study of 127 cases. J Am Coll Cardiol 41:653–658

    Article  PubMed  Google Scholar 

  4. Vongpatanasin W, Hillis LD, Lange RA (1996) Prosthetic heart valves. N Engl J Med 335:407–416

    Article  CAS  PubMed  Google Scholar 

  5. Caceres-Loriga FM, Perez-Lopez H, Santos-Gracia J, Morlans-Hernandez K (2006) Prosthetic heart valve thrombosis: pathogenesis, diagnosis and management. Int J Cardiol 110:1–6

    Article  PubMed  Google Scholar 

  6. Montorsi P, Cavoretto D, Alimento M et al (2003) Prosthetic mitral valve thrombosis: can fluoroscopy predict the efficacy of thrombolytic treatment? Circulation 108:II79–II84

    Article  PubMed  Google Scholar 

  7. Montorsi P, De Bernardi F, Muratori M et al (2000) Role of cine-fluoroscopy, transthoracic, and transesophageal echocardiography in patients with suspected prosthetic heart valve thrombosis. Am J Cardiol 85:58–64

    Article  CAS  PubMed  Google Scholar 

  8. Zoghbi WA, Chambers JB, Dumesnil JG et al (2009) Recommendations for evaluation of prosthetic valves with echocardiography and doppler ultrasound: a report From the American Society of Echocardiography›s Guidelines and Standards Committee and the Task Force on Prosthetic Valves, developed in conjunction with the American College of Cardiology Cardiovascular Imaging Committee, Cardiac Imaging Committee of the American Heart Association, the European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography and the Canadian Society of Echocardiography, endorsed by the American College of Cardiology Foundation, American Heart Association, European Association of Echocardiography, a registered branch of the European Society of Cardiology, the Japanese Society of Echocardiography, and Canadian Society of Echocardiography. J Am Soc Echocardiogr 22:975–1014

    Article  PubMed  Google Scholar 

  9. Barbetseas J, Nagueh SF, Pitsavos C et al (1998) Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves: an evaluation of clinical, transthoracic and transesophageal echocardiographic parameters. J Am Coll Cardiol 32:1410–1417

    Article  CAS  PubMed  Google Scholar 

  10. Kontos GJ, Schaff HV, Orzulak TA et al (1989) Thrombotic obstruction of discvalves: clinical recognition and surgical management. Ann Thorac Surg 48:50–55

    Article  Google Scholar 

  11. Deviri E, Sareli P, Wisenbaugh T (1991) Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management. J Am Coll Cardiol 17:646–650

    Article  CAS  PubMed  Google Scholar 

  12. Sivasubramanian S, Vijayshankar CS, Krishnamurthy SM et al (1996) Surgical management of prosthetic valve obstruction with the Sorin tilting disc prosthesis. J Heart Valve Dis 5:548–552

    CAS  PubMed  Google Scholar 

  13. Bonow RO, Carabello BA, Chatterjee K et al (2008) American College of Cardiology/American Heart Association Task Force on Practice Guidelines. 2008 focused update incorporated into the 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 management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons. J Am Coll Cardiol 52:e1–e142

    Article  PubMed  Google Scholar 

  14. Ozkan M, Kaymaz C, Kirma C et al (2000) Intravenous thrombolytic treatment of mechanical prosthetic valve thrombosis: a study using serial transesophageal echocardiography. J Am Coll Cardiol 35:1881–1889

    Article  CAS  PubMed  Google Scholar 

  15. Lengyel M, Horstkotte D, Völler H, Mistiaen WP (2005) Working Group Infection, Thrombosis, Embolism and Bleeding of the Society for Heart Valve Disease. Recommendations for the management of prosthetic valve thrombosis. J Heart Valve Dis 14:567–575

    PubMed  Google Scholar 

  16. Keuleers S, Herijgers P, Herregods MC et al (2011) Comparison of thrombolysis versus surgery as a first line therapy for prosthetic heart valve thrombosis. Am J Cardiol 107:275–279

    Article  PubMed  Google Scholar 

  17. Shapira Y, Herz I, Vaturi M et al (2000) Thrombolysis is an effective and safe therapy in stuck bileaflet mitral valves in the absence of high-risk thrombi. J Am Coll Cardiol 35:1874–1880

    Article  CAS  PubMed  Google Scholar 

  18. Lo’pez H, Ca’ceres FM, Morlans K et al (2002) Thrombolytic therapy with recombinant streptokinase for prosthetic valve thrombosis. J Card Surg 17:387–393

    Google Scholar 

  19. Lengyel M, Vegh G, Vandor L (1999) Thrombolysis is superior to heparin for non-obstructive mitral mechanical valve thrombosis. J Heart Valve Dis 8:167–173

    CAS  PubMed  Google Scholar 

  20. Lengyel M, Vandor L (2001) The role of thrombolysis in the management of left-sided prosthetic valve thrombosis: a study of 85 cases diagnosed by transesophageal echocardiography. J Heart Valve Dis 10:636–649

    CAS  PubMed  Google Scholar 

  21. Hering D, Piper C, Horstkotte D (2001) Management of prosthetic valve thrombosis. Eur Heart J Supplements 3:Q22–Q26

    Article  Google Scholar 

  22. Douketis JD, Berger PB, Dunn AS et al (2008) The perioperative management of antithrombotic therapy: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest 133:299S–339S

    Article  CAS  PubMed  Google Scholar 

  23. Francophone society of oral medicine and oral surgery wtcotFsoc. Guidelines for management of patients under antivitamin K treatment in oral surgery. http://www.societechirbuc.com/Recommandations/recommandations_ avk_gb.pdf

Download references

Compliance with ethical guidelines

Conflict of interest. S. Avci, S. Yilmaz, O. Kus, M.F. Ucar and D. Aras state that there are no conflicts of interest.

The accompanying manuscript does not include studies on humans or animals.

Author information

Authors and Affiliations

  1. Turkey Yuksek Ihtisas Education and Research Hospital, Ankara, Turkey

    S. Avci, S. Yilmaz, O. Kus, M.F. Ucar & D. Aras

Authors
  1. S. Avci
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. S. Yilmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. O. Kus
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M.F. Ucar
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. D. Aras
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to S. Yilmaz.

Electronic supplementary material

59_2013_3884_MO1_ESM.avi

Video 1. Fluoroscopy indicated that both cusps of the tricuspid prosthesis were stuck in a totally open position (AVI 34MB)

Video 2. After therapy cinefluoroscopy demonstrated that tricuspid valve motion was normal (AVI 60MB)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Avci, S., Yilmaz, S., Kus, O. et al. Recurrent thrombotic obstruction of a mechanical prosthetic valve in tricuspid position. Herz 39, 654–656 (2014). https://doi.org/10.1007/s00059-013-3884-1

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00059-013-3884-1

Keywords

Search

Navigation