title: Acute thrombosis in mitralic mechanical prosthesis: a case report.
abstract: We describe a case of a man, 42 years old, submitted to successful fibrinolitic strategy with rTPA in acute mitralic prosthesis valve thrombosis and ipomobility of one emidisk. There aren't a consensus agreement in therapeutic strategy but we may support the approach of some authors that employ fibrinolisis in patients without absolute or relative controindications and if thrombus dimension is less than 1 cm otherwise they make use of heparin therapy in non obstructive thrombosis with successive transesophageal echocardiography evaluation for the efficacy and the later indication for thrombolisis or surgery treatment.
authors.affiliation: Section of Cardiovascular Disease, Department of Applied Experimental Medicine, Brescia University-Italy. enrico.vizzardi@libero.it.
authors.forename: Enrico
authors.initials: E
authors.lastname: Vizzardi
authors.forename: Antonio
authors.initials: A
authors.lastname: D'Aloia
authors.forename: Gregoriana
authors.initials: G
authors.lastname: Zanini
authors.forename: Elena
authors.initials: E
authors.lastname: Antonioli
authors.forename: Ermanna
authors.initials: E
authors.lastname: Chiari
authors.forename: Livio Dei
authors.initials: LD
authors.lastname: Cas