Terapêutica trombolítica em trombose de prótese valvar

Katz, Marcelo; Tarasoutchi, Flávio; Grinberg, Max

doi:10.1590/s0066-782x2005001400016

Cited by 4 publications

(2 citation statements)

References 17 publications

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“…The incidence of prosthetic valve thrombosis ranges from 0.03% to 5.7% and depends on prosthesis type and location, and mainly on adequate anticoagulation 13 . The incidence in St. Jude metallic prosthesis is of 0.2% in the international literature.…”

Section: Clinical Aspectsmentioning

confidence: 99%

“…According to the latest American guideline, it is considered class IIb therapy in patients with leftsided prosthetic valve thrombosis in FC I-II and small thrombus (there is no specification as to the size of the thrombus); in patients in class III-IV and small thrombus if surgery is considered of very high risk or is unavailable; and in patients in FC II-IV with large thrombus if surgery is of very high risk or unavailable. Conversely, thrombolysis is the treatment of choice in right-sided thrombosis (IIA) 13 .…”

Section: Clinical Aspectsmentioning

confidence: 99%

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Caso 3/2008: dispnéia intensa rapidamente progressiva em mulher portadora de prótese mecânica em posição mitral

Ribeiro¹,

Abrantes²,

Vieira³

et al. 2008

Arq. Bras. Cardiol.

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Section: Clinical Aspectsmentioning

confidence: 99%

Section: Clinical Aspectsmentioning

confidence: 99%

Caso 3/2008: dispnéia intensa rapidamente progressiva em mulher portadora de prótese mecânica em posição mitral

Ribeiro¹,

Abrantes²,

Vieira³

et al. 2008

Arq. Bras. Cardiol.

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Successful thrombolysis of mechanical mitral valve prosthesis in a patient with cardiogenic shock

Zuern

Hoevelborn²,

Wisbar³

et al. 2009

Case Reports

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A 48-year-old woman with cardiogenic shock was admitted to a nearby hospital. Her medical history included mechanical replacement of her mitral valve 4 years previously in Russia because of rheumatic stenosis. On admission, her international normalised ratio (INR) was significantly reduced below the therapeutic limit. A severe stenosis of the valve prosthesis was identified by transthoracic and transoesophageal echocardiography and the patient was transferred to our university hospital for discussion of an immediate therapeutic procedure and to ensure cardiac surgical backup. Here, the patient's poor clinical status led to the decision for a non-routine treatment: a successful series of intravenous thrombolysis with alteplase. Clinical symptoms and echocardiographic parameters improved significantly.

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