Thrombus attached to suture materials successfully thrombolysed with low-dose tissue plasminogen activator

Mechanical prosthetic heart valve thrombosis is one of the most common complications of valve surgery. We herein describe an unusual clinical vignette. A 60-yearold man who underwent prosthetic mitral valve reoperation suffered from nonobstructive thrombus attached to the elongated suture materials...

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Bibliographic Details
Main Authors: Macit Kalçık, Ozan Mustafa Gürsoy, Süleyman Karakoyun, Mehmet Özkan
Format: Article
Language:English
Published: KARE Publishing 2014-02-01
Series:Türk Kardiyoloji Derneği Arşivi
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Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-28227
Description
Summary:Mechanical prosthetic heart valve thrombosis is one of the most common complications of valve surgery. We herein describe an unusual clinical vignette. A 60-yearold man who underwent prosthetic mitral valve reoperation suffered from nonobstructive thrombus attached to the elongated suture materials in the postoperative sixth month. The thrombus was precisely depicted by two- and three-dimensional transesophageal echocardiography and was successfully lysed with low-dose slow infusion of tissue plasminogen activator after failed heparin treatment.
ISSN:1016-5169