Thrombotic obstruction of bileaflet valves: surgical management and fiberoptic thrombectomy.
Three patients underwent emergency operation for thrombotic obstruction of a bileaflet mechanical prosthesis (two St. Jude and one Duromedics) in the mitral position. The three valves were successfully thromboectomized with return to normal function. In 2 patients removal of the thrombus at the valve hinges was assisted by the use of a flexible fiberoptic choledochoscope. All 3 patients remain well 2 years after the procedure, maintained on a regimen of warfarin and dipyridamole.
al-Halees
Z
Z
Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia.
Kumar
N
N
D004176:Dipyridamole / Q000627:therapeutic use; D004630:Emergencies; D016145:Endoscopy, Digestive System / Q000295:instrumentation; D005336:Fiber Optic Technology / Q000295:instrumentation; D006350:Heart Valve Prosthesis; D006801:Humans; D008943:Mitral Valve; D011474:Prosthesis Design; D017131:Thrombectomy; D013927:Thrombosis / Q000601:surgery*; D014859:Warfarin / Q000627:therapeutic use
D014859:Warfarin; D004176:Dipyridamole