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Dergiler / Van Tıp Dergisi / 2018 / Cilt: 25 - Sayı: 3

Different Strategies and Our Approach for Treatment of Mitral Valve Thrombosis; Treatment with Alteplase

Mitral Kapak Trombozu Tedavisinde Farklı Stratejiler ve Kendi Yaklaşımımız; Alteplaz ile Tedavi

Ata Niyazi ECEVİT
Özgür ALTINBAŞ
Hakan ÇOMAKLI
Deniz Sarp BEYAZPINAR
Zafer BÜYÜKTERZİ
Kadir DURGUT
Sayfa
424–426
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Although serious complications of thrombolytic therapy, we suppose that in high-risk patients with isolated mechanical valve thrombus, successful results can be achieved by applying slow rate infusion of thrombolytic agents.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Obstructive valve thrombosis after prosthetic valve replacement is a life-threatining problem.
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Temel Bulgular & Veri:In this study we presented a 55-yearold male patient who admitted to our hospital with the complaint of effort dyspnea due to thrombus on single leaflet of mechanical mitral valve.
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Sonuç & Katkı:Although serious complications of thrombolytic therapy, we suppose that in high-risk patients with isolated mechanical valve thrombus, successful results can be achieved by applying slow rate infusion of thrombolytic agents.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Obstructive valve thrombosis after prosthetic valve replacement is a life-threatining problem. Immediate medical or surgical intervention may be life-saving in such clinical cases. In this study we presented a 55-yearold male patient who admitted to our hospital with the complaint of effort dyspnea due to thrombus on single leaflet of mechanical mitral valve. It is still a question whether surgical treatment or thrombolytic therapy should be first choice in this situation. Although serious complications of thrombolytic therapy, we suppose that in high-risk patients with isolated mechanical valve thrombus, successful results can be achieved by applying slow rate infusion of thrombolytic agents.

Abstract

Protez kapak replasmanı sonrası obstruktif kapak trombozu hayatı tehdit eden bir problemdir. Bu tür klinik vakalara acil medikal veya cerrahi müdahale gerekmektedir. Bu çalışmada, mekanik mitral kapağın tek leafletinde trombüse bağlı efor dispnesi şikayetiyle hastanemize başvuran 55 yaşında bir erkek hastayı sunduk.Böyle bir durumda cerrahi tedavi veya trombolitik tedavinin birinci seçenek olması gerekip gerekmediği hâlâ tartışmalıdır. Trombolitik tedavinin ciddi komplikasyonlarına rağmen, izole mekanik kapak trombozlu, yüksek riskli hastalarda trombolitik ajanların yavaş infüzyon şeklinde uygulanarak başarılı sonuçlar alınabileceği düşüncesindeyiz.

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Bu Makaleye Atıf Yap

ECEVİT, A. N., ALTINBAŞ, Ö., ÇOMAKLI, H., BEYAZPINAR, D. S., BÜYÜKTERZİ, Z., DURGUT, K. (2018). Different Strategies and Our Approach for Treatment of Mitral Valve Thrombosis; Treatment with Alteplase. Van Tıp Dergisi, Cilt: 25 - Sayı: 3, 424–426. https://ajindex.com/articles/333981

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Kaynakça (10)

  1. Karabacak A, Özhan H, Aslantaş Y, Ekinözü İ, Tıbıllı H, Türler Y, ve ark. Altaplase infüzyonu ile tedavi edilen protez mitral kapak trombozu olgusu. Konuralp Tıp Dergisi 2014; 6(2): 55-57.
  2. Vahanian A, Baumgartner H, Bax J, Butchart E, Dion R, Filippatos G, et al. Guidelines on the management of valvular heart disease. Eur Heart J 2007; 28(2): 230-268.
  3. Witchitz S, Veyrat C, Moisson P, Scheinman N, Rozenstajn L. Fibrinolytic treatment of thrombus on prosthetic heart valves. Br Heart J 1980; 44(5): 545-554.
  4. Caceres-Loriga FM, Perez-Lopez H, Morlans- Hernandez K, Facundo-Sanchez H, Santos- Gracia J, Valiente-Mustelier J, et al. Thrombolysis as first choice therapy in prosthetic heart valve thrombosis. A study of 68 patients. J Thromb Thrombolysis 2006; 21(2): 185-190.
  5. Lopez HP, Caceres-Loriga FM, Hernandez KM, Sanchez HF, Gonzalez-Jimenez N, Marrero-Mirayaga MA, et al. Thrombolytic therapy with recombinant streptokinase for prosthetic valve thrombosis. J Card Surg 2002; 17(5): 387-393. Lengyel M. Management of prosthetic valve thrombosis. J Heart Valve Dis 2004; 13(3): 329-334.
  6. Ozkan M, Kaymaz C, Kirma C, Sonmez K, Ozdemir N, Balkanay M, et al. Intravenous thrombolytic treatment of mechanical prosthetic valve thrombosis: a study using serial transesophageal echocardiography. J Am Coll Cardiol 2000; 35(7): 1881-1889.
  7. Gueret P, Vignon P, Fournier P, Chabernaud JM, Gomez M, LaCroix P, et al. Transesophageal echocardiography for the diagnosis and management of nonobstructive thrombosis of mechanical mitral valve prosthesis. Circulation 1995; 91(1): 103-110.
  8. Lengyel M, Temesvari A, Nagy A, Villanyi J, Vandor L, Dekany P. The role of thrombolysis in obstructive and non-obstructive mitral prosthetic valve thrombosis diagnosed by multiplane TEE. Echocardiography 1997; 14: 50. Lengyel M, Horstkotte D, Voller H, Mistiaen WP. Working group infection, thrombosis, embolism and bleeding of the society for heart valve disease. Recommendations for the management of prosthetic valve thrombosis. J Heart Valve Dis 2005; 14(5): 567-575.
  9. Ekim H, Akbayrak H, Başel H, Hazar A, Karadağ M, Kutay V,et al. Management of prosthetic mitral valve thrombosis. Eastern Journal of Medicine 2005; 10: 10-14.
  10. Kutay V, Kirali K, Ekim H, Yakut C. Effects of giant left atrium on thromboembolism after mitral valve replacement. Asian Cardiovascular and Thoracic Annal 2005; 13(2): 107-111.