title: Thrombolytic treatment of thrombosis on the aortic valvular prosthesis complicated by brain embolism.
abstract: The authors present a case of thrombosis on the St. Jude Medical 19 aortic valve prosthesis. The diagnosis was confirmed by transthoracic and transoesofageal echocardiography, cardiac fluoroscopy revealed restricted movement of the aortic valve prosthesis leaflet. Thrombolytic therapy was complicated with brain embolism that was successfully percutaneously removed from the cerebral artery by the mechanical device. The patient has fully recovered without any neurological residual symptoms. This case report should be instructive to other clinicians who encounter the same complications after thrombolytic treatment.
authors.affiliation: 1st Department of Medicine, Charles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Czech Republic. lucka.horakova@email.cz
authors.forename: Lucie
authors.initials: L
authors.lastname: Horáková
authors.forename: Radek
authors.initials: R
authors.lastname: Pudil
authors.forename: Jan
authors.initials: J
authors.lastname: Raupach
authors.forename: Jan
authors.initials: J
authors.lastname: Vojácek
mesh_terms: D001021:Aortic Valve; D017128:Embolectomy; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D020766:Intracranial Embolism / Q000139:chemically induced* / Q000628:therapy; D008875:Middle Aged; D020768:Middle Cerebral Artery; D015912:Thrombolytic Therapy / Q000009:adverse effects*; D013927:Thrombosis / Q000188:drug therapy*