Serial Fluoroscopy Guided Fibrinolytic Therapy in a Patient with Obstructive Mechanical Aortic Valve Thrombosis

Macit Kalçık; Mahmut YESİN; Mustafa Ozan GÜRSOY; Mustafa YILDIZ; Mehmet ÖZKAN

Journals / Koşuyolu Heart Journal / 2016 / Cilt: 19 - Sayı: 3

Serial Fluoroscopy Guided Fibrinolytic Therapy in a Patient with Obstructive Mechanical Aortic Valve Thrombosis

Tıkayıcı Mekanik Aort Kapak Trombozu Olan Bir Hastanın Seri Floroskopi Kılavuzluğunda Pıhtı Eritici İlaç ile Tedavisi

Journal: Koşuyolu Heart Journal
Issue: 2016 · Cilt: 19 - Sayı: 3
Pages: 191–194
Publication Date: 2016-12-01
DOI: —

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AI Summary & Key Takeaways

AI Insight

⚡ TL;DR(Too Long; Didn't Read)

Here, we report a case of aortic valve thrombosis that was managed with low-dose (25 mg) and ultra-slow (25 hours) infusion of tissue-type plasminogen activator under the guidance of serial fluoroscopy.

📌 3 Key Takeaways

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Objective & Hypothesis: Prosthetic valve thrombosis is a life-threatening complication, which is most commonly seen in patients with poor anticoagulation.

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Key Findings & Data:Although two-dimensional and real-time three-dimensional transesophageal echocardiography are the gold standard imaging modalities for the diagnosis of prosthetic valve thrombosis, prosthetic valves in aortic position may not be evaluated precisely.

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Conclusion & Impact:Here, we report a case of aortic valve thrombosis that was managed with low-dose (25 mg) and ultra-slow (25 hours) infusion of tissue-type plasminogen activator under the guidance of serial fluoroscopy.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Floroskopi · protez kapak trombozu · aort kapak

Abstract

Prosthetic valve thrombosis is a life-threatening complication, which is most commonly seen in patients with poor anticoagulation. Although two-dimensional and real-time three-dimensional transesophageal echocardiography are the gold standard imaging modalities for the diagnosis of prosthetic valve thrombosis, prosthetic valves in aortic position may not be evaluated precisely. This is a serious problem during the follow-up of the patients who receive thrombolytic therapy for aortic valve thrombosis. Fluoroscopy is an alternative noninvasive imaging method, which provides valuable information about leaflet motion and may be used for such cases with restricted leaflets. Here, we report a case of aortic valve thrombosis that was managed with low-dose (25 mg) and ultra-slow (25 hours) infusion of tissue-type plasminogen activator under the guidance of serial fluoroscopy.

Özet

Protez kapak trombozu genellikle yetersiz antikoagüle edilmiş hastalarda rastlanan hayatı tehdit edici bir komplikasyondur. Protez kapak trombozu tanısında 2-boyutlu ve gerçek zamanlı 3-boyutlu transözafajeal ekokardiyografi altın standart görüntüleme yöntemleri olmasına rağmen, bu yöntemlerle aort konumundaki protez kapaklar çok net değerlendirilemeyebilir. Bu durum protez aort kapak trombozu nedeniyle trombolitik tedavi alan hastaların takibinde önemli bir problem oluşturur. Floroskopi bu şekilde kapak hareketlerinde kısıtlılık olan hastaların takibinde kapak hareketleri hakkında değerli bilgiler sunan alternatif noninvaziv görüntüleme yöntemidir. Burada bir protez aort kapak trombozu tanılı olguda seri floroskopi kılavuzluğunda düşük doz (25 mg) doku plazminojen aktivatörünün çok yavaş infüzyonu (25 saat) ile yapılan trombolitik tedaviyi sunmaktayız.

Keywords

Floroskopi protez kapak trombozu aort kapak trombolitik tedavi doku plazminojen aktivatörü Fluoroscopy prosthetic valve thrombosis aortic valve thrombolytic therapy tissue-type plasminogen activator

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Cite This Article

Kalçık, M., YESİN, M., GÜRSOY, M. O., YILDIZ, M., ÖZKAN, M. (2016). Serial Fluoroscopy Guided Fibrinolytic Therapy in a Patient with Obstructive Mechanical Aortic Valve Thrombosis. Koşuyolu Heart Journal, Cilt: 19 - Sayı: 3, 191–194. https://ajindex.com/articles/101219

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References (8)

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