title: Successful thrombolytic therapy for prosthetic mitral valve thrombosis with hemodynamic obstruction: case report and review of the literature.
abstract: Prosthetic valve thrombosis (PVT) is a serious complication of mechanical valves. The use of thrombolytic therapy to relieve thrombotic prosthetic valve obstruction is accepted for right-sided valves, but its role in left-sided valves and hemodynamically stable patients awaits clarification. The case is presented of a patient in whom prosthetic heart valve thrombosis was treated successfully with streptokinase under transesophageal echocardiographic guidance.
authors.affiliation: Dokuz Eylul University School of Medicine Department of Cardiology, Izmir, Turkey. bahri.akdeniz@deu.edu.tr
authors.forename: Bahri
authors.initials: B
authors.lastname: Akdeniz
authors.forename: Nezihi
authors.initials: N
authors.lastname: Baris
authors.forename: Ozer
authors.initials: O
authors.lastname: Badak
authors.forename: Ozgür
authors.initials: O
authors.lastname: Aslan
mesh_terms: D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use*; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D011475:Prosthesis Failure; D012214:Rheumatic Heart Disease / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy; D013300:Streptokinase / Q000627:therapeutic use*; D015912:Thrombolytic Therapy
chemical_list: D005343:Fibrinolytic Agents; D013300:Streptokinase