Thrombus attached to suture materials successfully thrombolysed with low-dose tissue plasminogen activator.
Mechanical prosthetic heart valve thrombosis is one of the most common complications of valve surgery. We herein describe an unusual clinical vignette. A 60-year-old man who underwent prosthetic mitral valve reoperation suffered from nonobstructive thrombus attached to the elongated suture materials in the postoperative sixth month. The thrombus was precisely depicted by two- and three-dimensional transesophageal echocardiography and was successfully lysed with low-dose slow infusion of tissue plasminogen activator after failed heparin treatment.
Department of Cardiology, Koşuyolu Kartal Heart Training and Research Hospital, İstanbul, Turkey.
Macit
M
Kalçık
Department of Cardiology, Koşuyolu Kartal Heart Training and Research Hospital, İstanbul, Turkey.
Ozan Mustafa
OM
Gürsoy
Department of Cardiology, Koşuyolu Kartal Heart Training and Research Hospital, İstanbul, Turkey.
Süleyman
S
Karakoyun
Department of Cardiology, Koşuyolu Kartal Heart Training and Research Hospital, İstanbul, Turkey.
Mehmet
M
Ozkan
D017548:Echocardiography, Transesophageal; D006350:Heart Valve Prosthesis / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013537:Sutures; D015912:Thrombolytic Therapy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use*
D010959:Tissue Plasminogen Activator