Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad
Bioprosthetic valve thrombosis (BPVT) is considered a relatively rare but life-threatening clinical entity. Thus, there is the need of high clinical suspicion in order to make a timely diagnosis and related appropriate therapeutic interventions. In this regard, the management of BPVT is high risk, w...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Clinics and Practice |
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| Online Access: | https://www.mdpi.com/2039-7283/12/5/71 |
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| author | Rosangela Cocchia Salvatore Chianese Giovanni Lombardi Luigia Romano Valentina Capone Lucio Amitrano Raffaele Bennato Brigida Ranieri Giuseppe Russo Ciro Mauro Eduardo Bossone |
| author_facet | Rosangela Cocchia Salvatore Chianese Giovanni Lombardi Luigia Romano Valentina Capone Lucio Amitrano Raffaele Bennato Brigida Ranieri Giuseppe Russo Ciro Mauro Eduardo Bossone |
| author_sort | Rosangela Cocchia |
| collection | DOAJ |
| description | Bioprosthetic valve thrombosis (BPVT) is considered a relatively rare but life-threatening clinical entity. Thus, there is the need of high clinical suspicion in order to make a timely diagnosis and related appropriate therapeutic interventions. In this regard, the management of BPVT is high risk, whatever the option taken (surgery and/or systemic fibrinolysis). The presence of severe comorbidities—as decompensated cirrhosis—further complicates the clinical decision-making process, calling for a patient-tailored integrated multidisciplinary approach. We report a challenging case of a 45-year-old patient with mitral bioprosthetic valve thrombosis and hepatitis C virus (HCV)-related cirrhosis complicated by active duodenal variceal bleeding. |
| first_indexed | 2024-03-09T20:26:11Z |
| format | Article |
| id | doaj.art-7569553d9e784418b644723740a1bd2f |
| institution | Directory Open Access Journal |
| issn | 2039-7283 |
| language | English |
| last_indexed | 2024-03-09T20:26:11Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-7569553d9e784418b644723740a1bd2f2023-11-23T23:34:53ZengMDPI AGClinics and Practice2039-72832022-08-0112568669110.3390/clinpract12050071Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly TriadRosangela Cocchia0Salvatore Chianese1Giovanni Lombardi2Luigia Romano3Valentina Capone4Lucio Amitrano5Raffaele Bennato6Brigida Ranieri7Giuseppe Russo8Ciro Mauro9Eduardo Bossone10Cardiology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyCardiology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyGastroenterology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyDepartment of General and Emergency Radiology, Antonio Cardarelli Hospital, 80131 Naples, ItalyCardiology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyGastroenterology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyGastroenterology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyIRCCS SYNLAB SDN, Via Emanuele Gianturco, 80143 Naples, ItalyChief Medical Officer, Antonio Cardarelli Hospital, 80131 Naples, ItalyCardiology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyCardiology Unit, Antonio Cardarelli Hospital, 80131 Naples, ItalyBioprosthetic valve thrombosis (BPVT) is considered a relatively rare but life-threatening clinical entity. Thus, there is the need of high clinical suspicion in order to make a timely diagnosis and related appropriate therapeutic interventions. In this regard, the management of BPVT is high risk, whatever the option taken (surgery and/or systemic fibrinolysis). The presence of severe comorbidities—as decompensated cirrhosis—further complicates the clinical decision-making process, calling for a patient-tailored integrated multidisciplinary approach. We report a challenging case of a 45-year-old patient with mitral bioprosthetic valve thrombosis and hepatitis C virus (HCV)-related cirrhosis complicated by active duodenal variceal bleeding.https://www.mdpi.com/2039-7283/12/5/71bioprosthetic mitral valve thrombosisHCV-related cirrhosisduodenal variceal bleeding |
| spellingShingle | Rosangela Cocchia Salvatore Chianese Giovanni Lombardi Luigia Romano Valentina Capone Lucio Amitrano Raffaele Bennato Brigida Ranieri Giuseppe Russo Ciro Mauro Eduardo Bossone Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad Clinics and Practice bioprosthetic mitral valve thrombosis HCV-related cirrhosis duodenal variceal bleeding |
| title | Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad |
| title_full | Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad |
| title_fullStr | Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad |
| title_full_unstemmed | Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad |
| title_short | Severe Stenosis of Mitral Bioprosthetic Valve Thrombosis in a Patient with HCV-Related Cirrhosis and Duodenal Variceal Bleeding: The Deadly Triad |
| title_sort | severe stenosis of mitral bioprosthetic valve thrombosis in a patient with hcv related cirrhosis and duodenal variceal bleeding the deadly triad |
| topic | bioprosthetic mitral valve thrombosis HCV-related cirrhosis duodenal variceal bleeding |
| url | https://www.mdpi.com/2039-7283/12/5/71 |
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