Obstructive Mechanical Valve Thrombosis : Diagnosis & Treatment in Sunpasitthiprasong Hospital
Keywords:
mechanical valve thrombosis, diagnosis of mechanical valve thrombosis, treatment of mechanical valve thrombosisAbstract
Objective : To evaluate diagnosis modality & treatment mode & outcome in mechanical valve thrombosis
Method : This study was a retrospective study of the medical record conducted in Sunprasitthiprasong Hospital. From 2015-2018 patient diagnosis with mechanical valve thrombosis were review, Mode of diagnosis, position of valve thrombosis, treatment and result were reviewed.
Results : 14 patients presenting with prosthetic heart valve thrombosis. All in mitral position. Diagnosis were made by Tran - thoracic Echocardiography in 7 cases and with combine Tran - thoracic Echocardiography and cine – fluoroscopy in 7 cases. 2 patients were treated with surgery. 12 patients were treated with Fibrinolytic agent (Streptokinase). 2 surgery result were good. In Fibrinolytic group, Success in 9 cases, 2 patients died (1 stroke, 1 cardiogenic shook), and 1 patient need surgery after Fibrinolytic
Conclusions : Tran - thoracic and cine – fluoroscopy are effective in diagnosis obstructive mechanical valve thrombosis. Surgery is a good choice in treatment but Fibrinolytic is an acceptable alternative treatment in limited situation.
References
Raym and Rodaut, Karim s, Stephane L : Thrombosis of Prosthetic Heart Valve : Diagnosis and Theupeutic Considerations, Heart. 2007 ; 93 : 137 – 142.
R. Roudaut, Thienry L, Marie – Frencoise L : Mechanical Cardiac Valve Thrombosis Is Fibrinolynis Justified ? : Circulotion. 1992 ; 80 No.5 : 8 - 15.
R. Roudaut, Stephane L, Marie – Frencoise R : Fibrinolysis of Mechanical Prosthetic Valve Thrombosis : Journal of The American College of Cardiology. 2003 ; 41 No.4, 653 - 658
Bonow RO, Carabello B, De Leon AC, et al. Guideline for The management of patients with Valvular Heart disease. Circulation. 1998; 98 1949 - 84.
Devivi E, Sareli P, Wisonbaush T, et al. Obstruction of mechanical heart valve prostheses : Clinical aspects and Surgical management. J Am Coll Cardial. 1991 ; 17 : 646 - 50.
Lengyel M, Fuster V, Keltui M, et al. Guidelines for management of Left – sided Prosthetic Valve Thrombosis : a role for Thrombolytic Thesoupy. J A Coll Cardiol. 1997 ; 30 : 1521 - 6.
Lengyel M, Vondor L. The role of Thrombolysis in The management of Left – sided Prosthetic Valve Thrombosis : a study of 85 cases diagnosed by Tronsesophogeal Echocardiography. J Heart Valve Dis. 2001 ; 10 : 636 - 49.
Oupta D, Kothara SS, Bal VK, et al. Thrombolytic Therapy for Prosthotic Valve Thrombosis : Short – and Long – term results. Am Heart J. 2000 ; 140 : 906 - 16.
Rick A, Nishimura, Cutherine M, Otto, Rubert O. Bonour, et al. : 2017 AHA/ACC Focused Update of the 2014 AHA/ACC Guide line for the Management of Patients With Valvular Heart Disease. Circulation. 2017 ; 135 : e1159 - e 1195
Ozkon M, Gundus S, Gursog OM, et al. Ultrastow Thrombolytic Therapy : a novel strategy in the management of Prosthetic M Echorical valve thrombosis and the predictors of out come : The Ultra – Slow PROMETEE trial Am Heart J. 2015 ; 170 : 409 – 18.
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