Intravascular hemolytic syndrome following aortic valve replacement. Complete hematologic and cardiac recovery with surgical intervention

1966 ◽  
Vol 118 (5) ◽  
pp. 486-490 ◽  
Author(s):  
M. H. Cooley
Author(s):  
Kerem Yay ◽  
Emre Boysan ◽  
Ahmet Irdem ◽  
Erdem Cetin ◽  
Levent Altinay ◽  
...  

Objective Thrombosis of mechanical heart valve prosthesis is a rare fatal complication after heart valve replacement. Although surgical intervention is the suggested treatment in many series, fibrinolytic treatment offers a good alternative. We describe eight cases with mechanical aortic valve thrombosis and compare their results after fibrinolytic treatment or redo aortic valve replacement. Methods Between February 2008 and March 2009, eight patients with previous mechanical prosthetic aortic valve replacement history were admitted to our center with mechanical aortic valve thrombosis. Four patients were operated, and the remaining four patients received low-dose fibrinolytic treatment. All patients’ data were collected prospectively. Results Two of the four operated patients died. In the fibrinolytic group, all patients totally recovered, and there was no mortality or morbidity during the follow-up period. Conclusions We thought that fibrinolytic treatment is a feasible and effective method for thrombosed mechanical aortic valve. However, much more populated patient groups are needed for the vigorous inference.


Author(s):  
Shanti Narayanasamy ◽  
Adam R Williams ◽  
Wiley A Schell ◽  
Rebekah W Moehring ◽  
Barbara D Alexander ◽  
...  

Abstract We report the first case of Curvularia alcornii aortic pseudoaneurysm following bioprosthetic aortic valve replacement in an immunocompetent host. Infection was complicated by septic emboli to multiple organs. Despite aggressive surgical intervention and antifungal therapy, infection progressed. We review the literature on invasive Curvularia infection to inform diagnosis and management.


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