Early Thrombosis of a Tricuspid Valve Prosthesis: Two-Dimensional Echocardiographic Demonstration
AUTOR(ES)
Paolillo, Vito
RESUMO
We report on the case of a 35-year-old woman who had undergone tricuspid valve replacement with a Lillehei-Kaster prosthesis 7 weeks prior to admission to our institution. Real-time two-dimensional echocardiography indicated a large mass on the inferolateral surface of the right atrium, as well as a dense band of echoes on the atrial and ventricular surfaces of the prosthesis. The diagnosis, confirmed by angiography, was early, acute thrombosis of the tilting disc prosthesis. After an unsuccessful infusion of urokinase, the patient was taken to emergency surgery; at operation, a large thrombus was discovered on the inferolateral wall, and the valve replaced. The patient recovered uneventfully, with no recurrence of thrombosis. Our experience confirms that two-dimensional echocardiography is the preferred technique for identifying intracardiac thrombi, and that surgery with replacement of the prosthesis is the treatment of choice in cases such as this where the size and age of the clot contraindicate fibrinolytic treatment. (Texas Heart Institute Journal 1988;15:65-67)
ACESSO AO ARTIGO
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=324789Documentos Relacionados
- Mitral Valve Aneurysm: M-Mode and Two-Dimensional Echocardiographic Features
- Two-dimensional echocardiographic features of Björk-Shiley aortic prosthetic valve dehiscence.
- Two-Dimensional Echocardiographic Features of Sewing Ring Dehisence of a Bioprosthetic Mitral Valve
- Two-dimensional echocardiographic diagnosis of aorticopulmonary window.
- Two-dimensional echocardiographic assessment of common atrioventricular valves in univentricular hearts.