Systemás thrombolysis acut mübillentyü obstructióban.

Translated title of the contribution: Systemic thrombolysis in acute obstruction of an artificial valve

T. Forster, A. Kardos, A. Varga, T. Gaál, G. Kovács, M. Csanády

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Prosthetic valve thrombosis is a characteristic, but fortunately not frequent complication of surgical valve replacement. Its occurrence may lead to haemodynamic catastrophe. Three cases involving prosthetic valve thrombosis are presented. Two patients suffered from thrombosis after tricuspid valve replacement (St. Jude Medical), while the third occurred after mitral valve replacement (Sorin). In the acute phase, systemic thrombolysis was initiated (2 MU Streptokinase during 22-28 hours). The obstruction of one of the tricuspid valves and the mitral valve was eliminated. Lysis of the other tricuspid valve was not complete, but it helped the patient to survive the acute phase until reoperation. Embolization occurred in the inferior extremity after thrombolysis of the mitral prosthetic valve, but it was cured. Two-dimensional and Doppler echocardiography (conventional and colour-coded) played an important role in the diagnosis of the obstruction and in the follow-up of the effectivity of thrombolysis. Systemic thrombolysis may be a lifesaving procedure in acute prosthetic valve thrombosis. In spite of the potentially dangerous complications, it has to be attempted.

Original languageHungarian
Pages (from-to)2323-2325
Number of pages3
JournalOrvosi Hetilap
Volume132
Issue number42
Publication statusPublished - Oct 20 1991

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Tricuspid Valve
Thrombosis
Mitral Valve
Streptokinase
Doppler Echocardiography
Reoperation
Surgical Instruments
Extremities
Color
Hemodynamics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Systemás thrombolysis acut mübillentyü obstructióban. / Forster, T.; Kardos, A.; Varga, A.; Gaál, T.; Kovács, G.; Csanády, M.

In: Orvosi Hetilap, Vol. 132, No. 42, 20.10.1991, p. 2323-2325.

Research output: Contribution to journalArticle

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AU - Csanády, M.

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AB - Prosthetic valve thrombosis is a characteristic, but fortunately not frequent complication of surgical valve replacement. Its occurrence may lead to haemodynamic catastrophe. Three cases involving prosthetic valve thrombosis are presented. Two patients suffered from thrombosis after tricuspid valve replacement (St. Jude Medical), while the third occurred after mitral valve replacement (Sorin). In the acute phase, systemic thrombolysis was initiated (2 MU Streptokinase during 22-28 hours). The obstruction of one of the tricuspid valves and the mitral valve was eliminated. Lysis of the other tricuspid valve was not complete, but it helped the patient to survive the acute phase until reoperation. Embolization occurred in the inferior extremity after thrombolysis of the mitral prosthetic valve, but it was cured. Two-dimensional and Doppler echocardiography (conventional and colour-coded) played an important role in the diagnosis of the obstruction and in the follow-up of the effectivity of thrombolysis. Systemic thrombolysis may be a lifesaving procedure in acute prosthetic valve thrombosis. In spite of the potentially dangerous complications, it has to be attempted.

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