[Successful fibrinolytic treatment in a patient with acute mitral prosthetic thrombosis].
A case is described of a 50 year-old man with an acute prosthetic dysfunction due to valve thrombosis and cardiogenic shock, on a prosthesis in the mitral position (Bjork-Shiley). The patient was promptly treated with a streptokinase in two infusions 1.5 x 10(6) UI over 180 and 90 minutes, respectively. Early clinical, fluoroscopy and echocardiography improvement was observed. The authors comment the present role of the thrombolytic therapy in front of surgery of prosthetic valve thrombosis.
Cladellas
M
M
Rivera
I
I
Ortuño
F
F
Pons
G
G
Foncuberta
J
J
Montserrat
I
I
García Moll
M
M
D000208:Acute Disease; D015150:Echocardiography, Doppler; D006349:Heart Valve Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D011475:Prosthesis Failure; D012770:Shock, Cardiogenic / Q000150:complications; D013300:Streptokinase / Q000627:therapeutic use*; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*
D013300:Streptokinase
Tratamiento fibrinolítico resolutivo en un paciente con trombosis protésica mitral aguda.