scholarly journals Thrombolytic therapy for a thrombosed bjork-shiley tricuspid valve prosthesis

1982 ◽  
Vol 5 (5) ◽  
pp. 347-350 ◽  
Author(s):  
K. J. Hellestrand ◽  
J. J. Morgan ◽  
V. P. Chang
2020 ◽  
Vol 4 (3) ◽  
pp. 1-4
Author(s):  
Nader Hanna ◽  
Andres Carmona ◽  
Hector Crespo ◽  
Roberto J Cubeddu

Abstract Background We present a complex case of a failing tricuspid mechanical valve prosthesis in a patient with refractory cardiogenic shock at prohibitive risk for surgery in whom balloon ‘valvuloplasty’ resulted in immediate haemodynamic improvement in valve function. Case summary A 67-year-old woman with remote history of endocarditis s/p tricuspid valve repair and mechanical aortic valve replacement was referred for second opinion and management of new severe symptomatic tricuspid valve stenosis resulting in progressive debilitating congestive heart failure (HF). The patient was approved by the heart team to undergo redo open heart for surgical repair of the tricuspid valve. Intraoperative technical challenges were met to repair the tricuspid valve. In turn, the native valve was resected and a 33 mm On-X mechanical valve prosthesis. The patient’s post-operative course was complicated by recurrent haemoptysis, prolonged mechanical respiratory support, acute kidney injury, and cardiogenic shock. Surgical re-exploration to address the dysfunctional mechanical tricuspid valve was felt to be prohibitive. Structural heart team was consulted. Cardiac catheterization was recommended to ascertain and confirm findings. The patient was transferred to the cardiac catheterization laboratory. Initial fluoroscopic examination of the heart confirmed the echocardiographic results of an immobile septal leaflet of the recently implanted mechanical tricuspid valve. An 8 × 40 mm Mustang OTW angioplasty balloon was then advanced across the mechanical valve and inflated gradually at nominal pressure. A single inflation resulted in successful restoration of valve leaflet function. Discussion To the best of our knowledge, this is the first balloon ‘valvuloplasty’ on a mechanical On-X valve in the tricuspid position.


2014 ◽  
Vol 7 (2) ◽  
pp. S59
Author(s):  
Maryam Taherkhani ◽  
Reza Hashemi Hashemi ◽  
Manouchehr Hekmat ◽  
Morteza Safi ◽  
Adineh Taherkhani ◽  
...  

2008 ◽  
Vol 51 (1) ◽  
pp. 59-62
Author(s):  
Lucie Horáková ◽  
Radek Pudil ◽  
Jan Raupach ◽  
Jan Vojáček

The authors present a case of thrombosis on the St. Jude Medical 19 aortic valve prosthesis. The diagnosis was confirmed by transthoracic and transoesofageal echocardiography, cardiac fluoroscopy revealed restricted movement of the aortic valve prosthesis leaflet. Thrombolytic therapy was complicated with brain embolism that was successfully percutaneously removed from the cerebral artery by the mechanical device. The patient has fully recovered without any neurological residual symptoms. This case report should be instructive to other clinicians who encounter the same complications after thrombolytic treatment.


2018 ◽  
Vol 16 (1) ◽  
pp. 17
Author(s):  
Yu. N. Gorbatykh ◽  
Yu. L. Naberukhin ◽  
Ye. N. Levicheva ◽  
L. G. Knyazkova ◽  
A. Yu. Omelchenko ◽  
...  

The article presents the results of the assessment of 52 patients' quality of life that had tricuspid valve prosthesis at the age from 1 to 16 years. Quality of life was evaluated by using a Nottingham Health Profile questionnaire. The data obtained suggests that quality of life in patients with tricuspid valve prosthesis is lower; it depends on the type of the operation performed, functional classes of cardiac decompensation and exercise tolerance. Besides, it is directly correlated with the right heart and BNP level.


2009 ◽  
Vol 135 (2) ◽  
pp. e47-e48 ◽  
Author(s):  
Mehmet Dogan ◽  
Sadik Acikel ◽  
Murat Muhammed N. Aksoy ◽  
Goksel Cagirci ◽  
Harun Kilic ◽  
...  

CASE ◽  
2017 ◽  
Vol 1 (3) ◽  
pp. 114-115
Author(s):  
Constantina Aggeli ◽  
Athanasios Aggelis ◽  
Ioannis Felekos ◽  
Kostas Zisimos ◽  
Themistoklis Psarros ◽  
...  

2014 ◽  
Vol 12 (8) ◽  
pp. 1218-1228 ◽  
Author(s):  
F. M. Castilho ◽  
M. R. De Sousa ◽  
A. L. P. Mendonça ◽  
A. L. P. Ribeiro ◽  
F. M. Cáceres-Lóriga

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