Prosthetic Valve Thrombosis: Diagnosis and Management.
Publication/Presentation Date
1-1-2016
Abstract
St. Jude mechanical prosthesis is the most commonly used prosthetic device with least valvular complications with excellent hemodynamics. However, prosthetic valve thrombosis is one of the serious complications, with rates between 0.03% and 0.13% per patient-year depending on the type of anticoagulation used and compliance to the therapy. Transthoracic echocardiography (TTE) is the initial screening tool (class I) that would provide clues for the assessment of valvular hemodynamics. Fluoroscopy is an alternate imaging modality for the assessment of mechanical leaflet motion, especially in patients when prosthetic valves are difficult to image on TTE or transesophageal echocardiography. A complete fluoroscopic evaluation of a prosthetic valve includes assessment of valvular motion and structural integrity. Opening and closing angles can be measured fluoroscopically to determine whether a specific valve is functioning properly. We discuss a case of a 91-year-old man with thrombosis of bileaflet mechanical mitral prosthesis that was demonstrated on real-time fluoroscopy (not evident on TTE). An algorithmic approach to diagnosis and management of prosthetic heart valve thrombosis is outlined.
Volume
23
Issue
1
First Page
252
Last Page
255
ISSN
1536-3686
Published In/Presented At
Garg, J., Palaniswamy, C., Pinnamaneni, S., Sarungbam, J., & Jain, D. (2016). Prosthetic Valve Thrombosis: Diagnosis and Management. American journal of therapeutics, 23(1), e252–e255. https://doi.org/10.1097/MJT.0000000000000117
Disciplines
Medicine and Health Sciences
PubMedID
25486519
Department(s)
Department of Medicine, Fellows and Residents
Document Type
Article