title: Disc impediment in medtronic-Hall aortic valve prosthesis followed by successful reoperation.
abstract: This case report describes the diagnostic and treatment challenges of the combined disc impediment caused by pannus ingrowth in combination with thrombus formation in a 21-mm Medtronic-Hall aortic valve prosthesis. A combined obstruction of a Medtronic-Hall prosthesis in the aortic position is a rare, but potentially fatal clinical condition for the first time reported in Vilnius University Hospital Santariškių Klinikos. Despite the difficulties in determining a correct diagnosis, our critically ill patient was clinically stabilized by partially successful thrombolysis and then successfully treated by a surgical thrombectomy together with pannus excision during the rotation of the disc within the valve housing 3 years after the valve implantation.
authors: Department of Cardiovascular Medicine, Faculty of Medicine, Vilnius University, Lithuania. sigita.glaveckaite@santa.lt
authors: Sigita
authors: S
authors: Glaveckaitė
authors: Ričardas
authors: R
authors: Peldžius
authors: Arimantas
authors: A
authors: Grebelis
authors: Pranas
authors: P
authors: Serpytis
authors: Aleksandras
authors: A
authors: Laucevičius
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D005260:Female; D006350:Heart Valve Prosthesis; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation; D017131:Thrombectomy; D013927:Thrombosis / Q000601:surgery*; D016896:Treatment Outcome