[Refibrinolysis with r-tPA for thrombosis of the mitral prosthesis after an acute myocardial infarct].
We report the case of a 62-year-old patient with a mitral prosthesis hospitalized with an anterior acute myocardial infarction who was treated with r-tPA. Some days later, the patient had mitral thrombosis with heart failure. Because of the high risk of surgical intervention, he was successfully treated with a new dose of r-tPA.
Moreno
R
R
Departamento de Cardiología, Hospital Gregorio Marañón, Madrid.
San Román
D
D
Ortega
A
A
López de Sá
E
E
Rey
J R
JR
García Fernández
M A
MA
López-Sendón
J L
JL
Delcán
J L
JL
D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology; D006349:Heart Valve Diseases / Q000188:drug therapy / Q000209:etiology; D006350:Heart Valve Prosthesis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy*; D010960:Plasminogen Activators / Q000627:therapeutic use*; D011994:Recombinant Proteins / Q000627:therapeutic use; D015912:Thrombolytic Therapy; D013927:Thrombosis / Q000188:drug therapy* / Q000209:etiology; D013997:Time Factors; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D011994:Recombinant Proteins; D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator