title: A successful case of repeat thrombolysis in acute prosthetic valve thrombosis.
abstract: Acute heart failure is an important presentation in the Acute Medical Unit. We describe a case of successful repeat thrombolysis in an elderly woman presenting as an emergency with severe pulmonary oedema, due to acute prosthetic mitral valve thrombosis. The diagnostic imaging and therapeutic modalities available are also described.This case highlights the need for acute physicians to consider prosthetic valve thrombosis in the differential for patients with metallic heart valves who present with acute heart failure or cardiogenic shock.
authors: Acute Medicine/Education SpR 2nd Floor Willow Lodge Medical Education Centre Whipps Cross University Hospital Leytonstone London, E11 1NR. shairana.naleem@googlemail.com
authors: F S
authors: FS
authors: Naleem
authors: M A
authors: MA
authors: Patel
authors: S
authors: S
authors: Basavarajaiah
authors: R
authors: R
authors: Aggarwal