[Thromboembolic accident after mitral valve replacement].
Between January 1981 and December 2000, we report 112 cases of mitral valvular replacement with bileaflet prothesis. Saint Jude prosthesis was implanted in 71% of cases. With a mean follow-up of 110 months we report a thromboembolic accident in 7 cases (6.2%). The linear rate of thromboembolic accident is 0.69% A/P. This complication was concerned 5 women and 5 men. The mean age is 54 years (43-65 years). An embolic accident without prosthesis thrombosis is noted in 6 cases. We report only one case of prosthesis occlusive thrombosis with urgent chirurgical intervention. Par rapport au RVM, l'ATE est survenue dans uns délai moyen de 129 months (86-168 months). Left atrium size, embolic antecedent, and bad anticoagulation are the predicted factors of thromboembolic accidents in our study. Patient age and sex, atrial fibrillation, type of bileaflet prosthesis don't influence the occurrence of thromboembolic accident.
Drissa
Habiba
H
Service de Cardiologie Adultes Hopital La Rabta, Tunis.
Ben Salah
Faten
F
Ben Romdhane
Seddika
S
Zaouali
Romdhane Mohsen
RM
D000328:Adult; D000367:Age Factors; D000368:Aged; D003627:Data Interpretation, Statistical; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008943:Mitral Valve; D012086:Reoperation; D012307:Risk Factors; D012737:Sex Factors; D013923:Thromboembolism / Q000209:etiology*; D013997:Time Factors
Accidents thromboemboliques apres remplacement valvulaire mitral.