Replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after repeated thrombolytic therapy.
A 49-year-old man who had undergone repair of tetralogy of Fallot underwent replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after intravenous thrombolytic therapy. Dysfunction of the prosthetic valve was detected clinically by change of heart sound and the appearance of a new diastolic murmur. Cinefluoroscopy confirmed fixation of both leaflets. Although thrombolytic therapy using urokinase was successful twice, the prosthesis was replaced with a Carpentier-Edwards bioprosthesis due to recurrent prosthetic dysfunction.
Okita
Y
Y
Department of Cardiovascular Surgery, Tenri Hospital, Tenri Nara, Japan.
Miki
S
S
Kusuhara
K
K
Ueda
Y
Y
Tahata
T
T
Sakai
T
T
D000328:Adult; D003328:Coronary Thrombosis / Q000209:etiology / Q000601:surgery; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D011664:Pulmonary Valve / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D013771:Tetralogy of Fallot / Q000601:surgery; D015912:Thrombolytic Therapy / Q000009:adverse effects*