Surgical treatment of left-sided prosthetic valve thrombosis: short and long-term results.
We report a single center experience of surgical treatment of 30 cases of left-sided prosthetic valve thrombosis (PVT). In our series, a diagnosis of PVT was established based on clinical and echocardiographic examinations. Thrombosis was the major etiologic factor in 25 patients (83.3%), while 22 of 25 patients (88%) had a subtherapeutic anticoagulation level. The early hospital mortality rate was 7.1% in patients with New York Heart Association (NYHA) functional classes II - III, and 31.3% in NYHA functional class IV. The median interval from the surgical procedure to follow-up for these patients was 29.2 months. No recurrence or deaths were observed during 3 to 73 months following the surgical procedure.
Ozkokeli
Mehmet
M
Department of Cardiovascular Surgery, Siyami Ersek Thoracic and Cardiovascular Education and Research Hospital, Istanbul, Turkey.
Sensoz
Yavuz
Y
Ates
Mehmet
M
Ekinci
Abdurrahman
A
Akcar
Murat
M
Yekeler
Ibrahim
I
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors
D000925:Anticoagulants