title: Is it open or is it closed? Thrombosis of a St. Jude's tricuspid valve prosthesis.
abstract: A 49-year-old woman with mitral and tricuspid mechanical valve prostheses developed marked weight gain with increasing abdominal girth and facial plethora 4 weeks after anticoagulation was temporarily interrupted for abdominal surgery. Transthoracic and transesophageal echocardiography documented severe tricuspid stenosis and regurgitation. The two discs of the tricuspid prosthesis were immobilized, half open and half closed. The prosthesis was replaced and the patient did well.
authors.affiliation: Noninvasive Cardiology Laboratory, NYU School of Medicine, New York, NY 10016, USA.
authors.forename: Divya
authors.initials: D
authors.lastname: Mehra
authors.forename: Paul A
authors.initials: PA
authors.lastname: Tunick
authors.forename: Gregory M
authors.initials: GM
authors.lastname: Goodkin
authors.forename: Martin L
authors.initials: ML
authors.lastname: Kahn
authors.forename: Itzhak
authors.initials: I
authors.lastname: Kronzon
mesh_terms: D015150:Echocardiography, Doppler; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery; D011475:Prosthesis Failure; D012214:Rheumatic Heart Disease / Q000601:surgery; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D014261:Tricuspid Valve / Q000000981:diagnostic imaging / Q000601:surgery; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging*; D014264:Tricuspid Valve Stenosis / Q000000981:diagnostic imaging*