Late thrombotic obstruction of an aortic bioprosthetic valve: successful treatment by oral anticoagulation.

Abstract:

:Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier-Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve. Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to carry a high risk of embolism and recurrence. However, the use of this therapy was reported for the first time only recently, in a case of acute aortic thrombosis which occurred 3 1/2 months after bioprosthesis insertion. We report a case of late progressive thrombotic obstruction of a CE aortic valve 3 years after insertion. The case was successfully treated with coumadin therapy, as confirmed by serial Doppler echocardiographic examinations and a 3-year follow-up.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Juliard JM,Paillole C,Dahan M,Steg PG,Himbert D,Aumont MC

doi

10.1002/clc.4960160215

subject

Has Abstract

pub_date

1993-02-01 00:00:00

pages

152-4

issue

2

eissn

0160-9289

issn

1932-8737

journal_volume

16

pub_type

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