Giant atrial thrombus in a patient with mechanical aortic and mitral prosthesis. A deadly complication

Authors

  • Jesús Samuel Borges López Echocardiography Service. Regional Hospital 1° de Octubre, ISSSTE. Mexico City, Mexico
  • Julio César Rivera Hermosillo Echocardiography Service. Regional Hospital October 1, ISSSTE. Mexico City, Mexico
  • Fernando Iván Vergara Orduña Echocardiography Service. Regional Hospital October 1, ISSSTE. Mexico City, Mexico
  • Luis Erik Olivares Sánchez Echocardiography Service. Regional Hospital October 1, ISSSTE. Mexico City, Mexico
  • Edgar Fernando Herrerías Miranda Cardiovascular Surgery Service. Regional Hospital October 1, ISSSTE. Mexico City, Mexico

DOI:

https://doi.org/10.37615/retic.v5n3a11

Keywords:

thrombus, atrium, mitral, prosthesis

Abstract

Prosthetic valve thrombosis remains a frequent and fatal complication. It is more associated with mechanical prostheses and in mitral position, increasing the risk of complications in patients with poor adherence to anticoagulant treatment. We present the case of a patient with mechanical mitral and aortic prostheses, who presented data of heart failure after suspension of anticoagulation, showing a large left atrial thrombus, which led to a fatal outcome. The objective of this case is to know prosthetic valve thrombosis as a feared complication and the relevance of transesophageal echocardiography to provide urgent diagnosis and treatment.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Abreu R., Barranco D., Piñeyro H., Casales D. Trombosis protésica obstructiva: un enemigo latente: Revisión del tema, a propósito de tres casos clínicos. Rev.Urug.Cardiol. [Internet]. 2011 Dic [citado 2022 Ago 03]; 26( 3 ): 179-188.

Careaga-Reyna G., Esparza-Pantoja J., Argüero-Sánchez R. Trombosis de las prótesis valvulares cardíacas mecánicas. Factores predisponentes y resultados del tratamiento quirúrgico. 1997 Nov/Dic. Gac Méd Méx Vol. 133 No. 6: 535-539.

Ravi V, Chandran A, Matar R, Pulipati P, Yadav N. Prosthetic Mitral Valve Obstruction with Left Atrial Appendage Thrombus: A Therapeutic Dilemma. Cureus. 2019 Jun 26;11(6):e5011. DOI: https://doi.org/10.7759/cureus.5011

Tong A, Roudaut R, Özkan M, Sagie A, Shahid MS, Pontes Júnior SC, et al. Transesophageal echocardiography improves risk assessment of thrombolysis of prosthetic valve thrombosis: results of the international PRO-TEE registry. J Am Coll Cardiol 2004; 43:77-84. DOI: https://doi.org/10.1016/j.jacc.2003.08.028

Husaini M, Quader N, Braverman AC, Damiano RJ, Maniar HS. Massive Left Atrial Thrombus After a Left Atrial Surgical Ablation and Bioprosthetic Mitral Valve Replacement. Innovations (Phila). 2020 Jul/Aug;15(4):389-392. DOI: https://doi.org/10.1177/1556984520934632

Azpitarte J., Sánchez J., Urdaa T., Vivancosa R., Oyonarte J., Malpartida F. Trombosis valvular protésica: ¿cuál es la terapia inicial más apropiada?, Rev Esp Cardiol 2001; 54: 1367-1376). DOI: https://doi.org/10.1016/S0300-8932(01)76519-0

Gündüz S., Kalçık M., Gürsoy M., Güner A., Özkan M. Diagnosis, treatment & management of prosthetic valve thrombosis: the key considerations. Expert Rev Med Devices. 2020 Mar;17(3):209-221. DOI: https://doi.org/10.1080/17434440.2020.1733972

Published

2022-12-31

How to Cite

1.
Borges López JS, Rivera Hermosillo JC, Vergara Orduña FI, Olivares Sánchez LE, Herrerías Miranda EF. Giant atrial thrombus in a patient with mechanical aortic and mitral prosthesis. A deadly complication. Rev Ecocardiogr Pract Otras Tec Imag Card (RETIC) [Internet]. 2022 Dec. 31 [cited 2024 Nov. 21];5(3):49-53. Available from: https://imagenretic.org/RevEcocarPract/article/view/526

Most read articles by the same author(s)