title: Obstructive bioprosthetic mitral valve thrombus: management options?
abstract: Bioprosthetic valve thrombosis is an extremely rare event, therefore, long-term anticoagulation can be avoided. There is limited experience in the diagnosis and treatment of such a situation. We present the case of a patient with a porcine mitral bioprosthesis who presented with acute pulmonary edema, likely secondary to obstructive valve thrombosis. A favorable outcome was observed after conservative anticoagulant treatment.
authors.affiliation: Adult Cardiology Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia hzalshehri@kfmc.med.sa.
authors.forename: Halia Z
authors.initials: HZ
authors.lastname: Alshehri
authors.affiliation: Adult Cardiology Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Magdi
authors.initials: M
authors.lastname: Ismail
authors.affiliation: Cardiac Surgery Department, Prince Salman Heart Center, King Fahad Medical City, Riyadh, Saudi Arabia.
authors.forename: Mohamed F
authors.initials: MF
authors.lastname: Ibrahim
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D001705:Bioprosthesis; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation*; D006801:Humans; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D011474:Prosthesis Design; D011475:Prosthesis Failure; D011654:Pulmonary Edema / Q000209:etiology; D013927:Thrombosis / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants
keywords: Anticoagulants; Bioprosthesis; Contraceptives; Echocardiography; Mitral valve insufficiency; Thrombosis; hormonal; oral; transesophageal