Nonsurgical correction for thrombosis of a St. Jude Medical tricuspid prosthesis: report of a case.
A 43-year-old woman with rheumatic heart disease underwent replacement of the aortic, mitral, and tricuspid valves using three SJM prostheses. Despite adequate warfarin therapy, routine cineradiography performed on the 40th postoperative day showed one of the leaflets of the tricuspid prosthesis to be "stuck" in the semiclosing position. A thrombosis of the tricuspid prosthesis was successfully treated with a urokinase infusion and mechanical thrombolysis using a pacemaker, following which normal valve function was restored.
Aoyagi
S
S
Second Department of Surgery, Kurume University School of Medicine, Japan.
Suzuki
S
S
Oishi
K
K
Hashino
T
T
Nakata
S
S
Toshima
H
H
D000328:Adult; D002304:Cardiac Pacing, Artificial; D002933:Cineradiography; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use
D014568:Urokinase-Type Plasminogen Activator