Koroner arter by-pass greftli hastada tıkayıcı protez mitral kapak trombüsü

Bu yazıda akut tıkayıcı protez mitral kapak trombüsü nedeniyle hastanemize kabul edilen koroner arter by-pass greftli bir hasta sunulmuştur. Hastanın INR değeri hedef değerlerin altında idi. Tanı tanstorasik ekokardiyografi (TTE) ile konuldu. Hastaya TTE kılavuzluğunda fibrinolitik tedavi verildi ve başarılı sonuç elde edildi.

Obstructive thrombosis of prosthetic mitral valve in a patient with coronary artery by-pass grafting

We report a patient with coronary artery by-pass grafting who was admitted to our hospital due to acute occlusive thrombosis of prosthetic mitral valve. His INR level was subtherapeutic. The diagnosis was made with transthorasic echocardiography. Fibrinolytic therapy was given to him and a successful clinical result was obtained.

___

  • 1. Schulman S. Unresolved issues in anticoagulant therapy. J Thromb Haemost 2003;1:1464-70.
  • 2. Deviri E, Sareli P, Wisenbaugh T, Cronje SL. Obstruction of mechanical heart valve prostheses: clinical aspects and surgical management. J Am Coll Cardiol 1991;17:644-50.
  • 3. Rizzoli G, Guglielmi C, Toscano G, et al. Reoperations for acute prosthetic thrombosis and pannus: an assessment of rates, relationship and risk. Eur J Cardiothorac Surg 1999;16:74-80.
  • 4. Bonow RO, Carabello BA, Kanu C, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (writing committee to revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): developed in collaboration with the Society of Cardiovascular Anesthesi-ologists: endorsed by the Society for Cardiovascular Angiography and Interventions and the Society of Thoracic Surgeons. JACC 2006;48:115-6.
  • 5. Buttard P, Bonnefoy E, Chevalier P, et al. Mechanical cardiac valve thrombosis in patients in critical haemodynamic compromise. Eur J Cardiothorac Surg 1997;11:710-3.
Dicle Tıp Dergisi-Cover
  • ISSN: 1300-2945
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 1963
  • Yayıncı: Cahfer GÜLOĞLU