Abstract

CARLESSI, Carlos A.; ABUD, Atilio M.  and  FERNANDEZ, Ricardo. Fibrinolytic Therapy in Thrombosis of Bioprosthesis in the Aortic Position. Rev. argent. cardiol. [online]. 2009, vol.77, n.4, pp.306-308. ISSN 1850-3748.

Thrombosis of heart valve prostheses is a complication associated with high mortality. It is extremely infrequent in bioprostheses and its treatment is controversial (as in the case of mechanical prostheses), representing a challenge. We report the case of an elder patient who underwent an aortic valve replacement with a bioprosthesis and presented acute heart failure 6 months later. The transesophageal echocardiogram showed thrombosis of the bioprosthesis. Infusion of streptokinase was prescribed for 24 hours; the patient presented clinical and hemodynamic improvement and no adverse outcomes were reported.

Keywords : Heart Valve Prosthesis; Thrombosis; Fibrinolysis.

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