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Document Details : Title: Successful thrombolytic treatment of a bio-prosthetic mitral valve thrombosis in a pregnant woman Author(s): M. Uluganyan , G. Karaca , Z. Nurkalem Journal: Acta Cardiologica Volume: 68 Issue: 4 Date: 2013 Pages: 446-448 DOI: 10.2143/AC.68.4.2988903 Abstract : Even though it is a rare complication, the pro-coagulant condition of pregnancy may predispose to thrombosis of a bio-prosthetic mitral valve (BPMV). We report the successful reduced-dose, slow infusion of tissue plasminogen activator (t-PA) to a BPMV thrombosis in a pregnant woman. When the patient was seen in the emergency clinic she was dyspnoeic and tachycardic and evaluated as NYHA class III-IV. On transthoracic echocardiography (TTE) the BPMV leaflet movement was restricted and a high transmitral valve gradient was measured. Transoesophageal echocardiography showed thrombosis of the BPMV. After slow infusion of t-PA with heparin, on TTE the gradient was decreased with free movement of the BPMV leaflet and with fast clinical improvement. |
