[Mitral prosthetic valve and presyncope].
The incidence of mitral prosthetic valve thrombosis is low and generally dependent on low levels of anticoagulation. The clinical presentation is highly variable and ranges from asymptomatic patient though to arterial embolism or hemodynamic symptoms of valve obstruction. We report a case of a patient with presyncope and prosthetic mitral valve dysfunction with intermittent flow obstruction.
Servicio de Cardiología, Hospital Universitario Virgen del Rocía, Sevilla, Spain. eduaru@hotmail.com
E
E
Arana Rueda
F
F
Florián Sanz
C
C
Gómez Navarro
J
J
Nevado Portero
A
A
Aguilera Saborido
F
F
López Pardo
D000925:Anticoagulants / Q000627:therapeutic use; D000927:Anticonvulsants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000209:etiology; D003951:Diagnostic Errors; D004569:Electroencephalography; D004828:Epilepsies, Partial / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008875:Middle Aged; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery; D010092:Oximetry; D010672:Phenytoin / Q000627:therapeutic use; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D013575:Syncope / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D013927:Thrombosis / Q000188:drug therapy / Q000209:etiology*; D014463:Ultrasonography
D000925:Anticoagulants; D000927:Anticonvulsants; D010672:Phenytoin