An unusual late complication of a cardiac prosthesis
DOI:
https://doi.org/10.37615/retic.v6n1a9Keywords:
prosthetic valve thrombosis, transesophageal echocardiogram, mitral valveAbstract
Prosthetic valve thrombosis (PVT) is a cause of valve dysfunction in patients with prosthetic heart valves. Mitral PVT is 2 to 3 times more frequent than aortic PVT. The annual rate of valve thrombosis is 0,1-5,7 %, with high rates observed in some specific types of valves, such as mechanical valves implanted in the mitral and tricuspid position. Other risk factors are the early perioperative period, and the association with subtherapeutic anticoagulation. PVT can manifest with subclinical valvular dysfunction or with clinical signs of heart failure and systemic embolism. It is a life-threatening condition requires an early diagnosis. We present the case of very late mitral prosthetic thrombosis and the role of imaging in its diagnosis and treatment.
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Dangas GD, Weitz JI, Giustino G, Makkar R, Mehran R. Prosthetic Heart Valve Thrombosis. J Am Coll Cardiol. 2016 Dec 20;68(24):2670-2689. doi: https://doi.org/10.1016/j.jacc.2016.09.958. DOI: https://doi.org/10.1016/j.jacc.2016.09.958
Azpitarte J, Sánchez-Ramos J, Urda T, Vivancos R, Oyonarte Jm, 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
Lim WY, Lloyd G, Bhattacharyya S. Mechanical and surgical bioprosthetic valve thrombosis. Heart. 2017 Dec;103(24):1934-1941. doi: https://doi.org/10.1136/heartjnl-2017-311856. Epub 2017 Aug 5. PMID: 28780576. DOI: https://doi.org/10.1136/heartjnl-2017-311856
Garg J, Palaniswamy C, Pinnamaneni S, Sarungbam J, Jain D. Prosthetic Valve Thrombosis: Diagnosis and Management. Am J Ther. 2016 Jan-Feb;23(1):e252-5. doi: https://doi.org/10.1097/MJT.0000000000000117. PMID: 25486519. DOI: https://doi.org/10.1097/MJT.0000000000000117
Bonnichsen CR, Pellikka PA. Prosthetic Valve Thrombus Versus Pannus: Progress With Imaging. Circ Cardiovasc Imaging. 2015 Dec;8(12):e004283. doi: https://doi.org/10.1161/CIRCIMAGING.115.004283. PMID: 26659371. DOI: https://doi.org/10.1161/CIRCIMAGING.115.004283
Lancellotti P, Pibarot P, Chambers J, Edvardsen T, Delgado V, Dulgheru R, Pepi M, Cosyns B, Dweck MR, Garbi M, Magne J, Nieman K, Rosenhek R, Bernard A, Lowenstein J, Vieira ML, Rabischoffsky A, Vyhmeister RH, Zhou X, Zhang Y, Zamorano JL, Habib G. Recommendations for the imaging assessment of prosthetic heart valves: a report from the European Association of Cardiovascular Imaging endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2016 Jun;17(6):589-90. doi: https://doi.org/10.1093/ehjci/jew025. Epub 2016 May 3. PMID: 27143783. DOI: https://doi.org/10.1093/ehjci/jew025
Fernandes V, Olmos L, Nagueh SF, Quiñones MA, Zoghbi WA. Peak early diastolic velocity rather than pressure half-time is the best index of mechanical prosthetic mitral valve function. Am J Cardiol. 2002 Mar 15;89(6):704-10. doi: https://doi.org/10.1016/s0002-9149(01)02343-8. PMID: 11897213. DOI: https://doi.org/10.1016/S0002-9149(01)02343-8
Valencia-Sánchez JS, Lozano TVM. Tratamiento quirúrgico en la trombosis valvular cardiaca protésica del lado izquierdo. A propósito de un caso. Rev Mex Cardiol. 2014;25(3):166-170
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Copyright (c) 2023 Stefany Hiday Rios lopez, Veronica Zazueta Armenta, Cyntia Margarita Yucupicio Garcia, Rafael Carlos Quezada Angulo
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