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Early acute thrombosis of bioprosthetic mitral valve presenting with cardiogenic shock

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Abstract

Early thrombosis of bioprosthetic mitral valves is an extremely rare occurrence. We present an unusual case of a patient with polycythemia presenting with cardiogenic shock, secondary to acute thrombosis of a bioprosthetic mitral valve which was placed 14 months prior to presentation. Our report also reviews predisposing factors and treatment options for bioprosthetic mitral valve thrombosis.

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References

  1. Bonow RO, Carabello BA, Kanu C, de Leon AC Jr, Faxon DP, Freed MD, et al. 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): developed in collaboration with the Society of Cardiovascular Anesthesiologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. American College of Cardiology/American Heart Association Task Force on Practice Guidelines; Society of Cardiovascular Anesthesiologists; Society for Cardiovascular Angiography and Interventions; Society of Thoracic Surgeons. Circulation. 2006;114(5):84–231.

    Article  Google Scholar 

  2. Oliver JM, Gallego P, Gonzalez A, Dominguez FJ, Gamallo C, Mesa JM. Bioprosthetic mitral valve thrombosis: clinical profile, transesophageal echocardiographic features, and follow-up after anticoagulant therapy. J Am Soc Echocardiogr. 1996;9:691–9.

    Article  PubMed  CAS  Google Scholar 

  3. Thomas B, Carreras F, Borras X, Pons-Lladó G. An unusual case of bioprosthetic mitral valve thrombosis. Ann Thorac Surg. 2001;72:259–61.

    Article  PubMed  CAS  Google Scholar 

  4. Hagley MT, Lopez-Candales A, Phillips KJ, Daily BB, Kouchoukos NT. Thrombosis of mitral valve bioprostheses in patients requiring circulatory assistance. Ann Thorac Surg. 1995;60:1814–6.

    Article  PubMed  CAS  Google Scholar 

  5. Zlotnick AY, Shehadeh J, Flugelman MY, Bursztein-De Myttenaere SA, Gaspar T, Shiran A. Acute reversible bioprosthetic mitral valve stenosis caused by heparin-induced thrombocytopenia. Circulation. 2008;118:73–5.

    Article  Google Scholar 

  6. Aminian A, Lefebvre P, Delmotte P, Friart A. An unusual case of late bioprosthetic mitral valve thrombosis successfully managed with anticoagulation. Eur J Echocardiogr. 2008;9(3):399–400.

    PubMed  Google Scholar 

  7. Grunkemeier GL, Li HH, Naftel DC, Starr A, Rahimtoola SH. Long-term performance of heart valve prostheses. Curr Probl Cardiol. 2000;25:73–154.

    Article  PubMed  CAS  Google Scholar 

  8. Stein PD, Alpert JS, Dalen JE, Horstkotte D, Turpie AG. Antithrombotic therapy in patients with mechanical and biological prosthetic heart valves. Chest. 1998;114:602–10.

    Article  Google Scholar 

  9. Korkolis DP, Passik CS, Marshalko SJ, Koullias GJ. Early bioprosthetic mitral valve “pseudostenosis” after complete preservation of the native mitral apparatus. Ann Thorac Surg. 2002;74:1689–91.

    Article  PubMed  Google Scholar 

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Correspondence to Athanasios Tsiouris.

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Tsiouris, A., Nemeh, H. & Borgi, J. Early acute thrombosis of bioprosthetic mitral valve presenting with cardiogenic shock. Gen Thorac Cardiovasc Surg 61, 152–154 (2013). https://doi.org/10.1007/s11748-012-0121-4

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  • DOI: https://doi.org/10.1007/s11748-012-0121-4

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