Thrombosis of a Bjork-Shiley mitral valve prosthesis: its thrombolytic treatment with rt-PA
Astengo, D.; Fazzini, L.; Piazza, R.; Cecchi, A.
Giornale Italiano di Cardiologia 23(11): 1141-1146
1993
ISSN/ISBN: 0046-5968 PMID: 8163104 Document Number: 407586
A 62-year-old woman with a Bjork-Shiley prosthetic mitral valve, presented with pulmonary edema and cardiogenic shock. Doppler echocardiography showed a significant increase of trans-prosthetic gradient due to a thrombotic obstruction. Successful treatment with rt-PA is described. From a subsequent analysis of previous echocardiograms a longstanding asymptomatic thrombus is hypothesised.
Document emailed within 1 workday
Related Documents
Asakura, T.; Jikuya, T.; Atsumi, N.; Terada, Y.; Sakakibara, Y.; Mitsui, T. 1994: Thrombolytic therapy of thrombosed Björk-Shiley aortic valve prosthesis--report of four cases Nihon Kyobu Geka Gakkai 42(8): 1214-1221Saunders, C.R.; Rossi, N.P.; Rittenhouse, E.A. 1977: Failure of a Björk-Shiley mitral valve prosthesis to open: clinical recognition Journal of Cardiovascular Surgery 18(6): 571-574
Lindblom, D. 1988: Long-term clinical results after mitral valve replacement with the Björk-Shiley prosthesis Journal of Thoracic and Cardiovascular Surgery 95(2): 321-333
Lemke, B.; Rathmann, J.; Wiebe, V.; Witzel, U. 1991: Strut fracture of a convex-concave 60 degree Björk-Shiley mitral valve prosthesis 5 years after implantation--metallurgic analysis of the prosthesis strut Zeitschrift für Kardiologie 80(8): 537-540
Gray, L.A.; Fulton, R.L.; Srivastava, T.N.; Flowers, N.C. 1976: Surgical treatment of thrombosed Björk-Shiley aortic valve prosthesis Journal of Thoracic and Cardiovascular Surgery 71(3): 429-432
Perier, P.; Deloche, A.; Rossand, P.; Fabiani, J.N.; Bessou, J.P.; Bourezak, H.; Chachques, J.C.; d'Allaines, C.; Blondeau, P.; Carpentier, A. 1984: Comparative evaluation of various methods of treatment of mitral valve diseases. Apropos of 4 series of 100 patients operated on using the Starr prosthesis, Bjork prosthesis, bioprosthesis and valve reconstruction Archives des Maladies du Coeur et des Vaisseaux 77(13): 1517-1524
Horstkotte, D.; Loogen, F.; Kleikamp, G.; Schulte, H.D.; Trampisch, H.J.; Bircks, W. 1983: Effect of prosthetic heart valve replacement on the natural course of isolated mitral and aortic as well as multivalvular diseases. Clinical results in 783 patients up to 8 years following implantation of the Björk-Shiley tilting disc prosthesis Zeitschrift für Kardiologie 72(9): 494-503
Van Sabben, C.; Griffin, S.C.; Venn, G.E. 1994: Disc failure in a Björk-Shiley mitral prosthesis Journal of Heart Valve Disease 3(5): 581-582
Topalov, V.; Petkov, T. 1987: A defect in a Björk-Shiley heart valve prosthesis Khirurgiia 40(4): 71-73
Monassier, J.P.; Kurtz, T.; Heitz, A.; Lachmann, P.; Kretz, J.G.; Jeanblanc, B.; Eisenmann, B.; Kieny, R.; Kieny, M.T. 1980: Aortic and mitral monovalvular replacements. Comparison of the ball prosthesis of Starr-Edwards (1260-6120) and the tilting disc prosthesis of Bjork-Shiley. Series of 390 patients Archives des Maladies du Coeur et des Vaisseaux 73(1): 79-84
Lifschultz, B.D.; Donoghue, E.R. 1985: Strut fracture in a Bjork-Shiley aortic valve prosthesis Journal of Forensic Sciences 30(4): 1244-1247
Hata, T.; Namba, H.; Sone, Y.; Imamaki, M.; Kuinose, M.; Taniguchi, G. 1990: Post-operative evaluation of a 17 mm diameter Björk-Shiley Monostrut prosthesis for aortic valve replacement--pressure gradient and effective valve area Nihon Kyobu Geka Gakkai 38(3): 518-522
Jaeger, M.; Rivier, J.L. 1975: A valvular prosthesis causing slight hemolysis: the Bjork-Shiley valve Annales de Cardiologie et d'Angeiologie 24(5): 401-405
Ibarra, F.; Gutierrez, A.; Martinez, F.; Carreras, L.; Lopez, C.; Alonso-Lej, F. 1984: Fracture of the outlet strut of a Björk-Shiley mitral prosthesis: emergency operation with survival Journal of Thoracic and Cardiovascular Surgery 87(2): 315-318
Iyer, K.S.; Reddy, K.S.; Rao, I.M.; Venugopal, P.; Bhatia, M.L.; Gopinath, N. 1984: Valve replacement in children under twenty years of age. Experience with the Björk-Shiley prosthesis Journal of Thoracic and Cardiovascular Surgery 88(2): 217-224
Kücükaksu, D.S.; Akgül, A.; Uzun, A.; Tarcan, O.; Cagli, K.; Sener, E.; Tasdemir, O.; Bayazit, K. 2001: Thirty years survival without anticoagulation after aortic valve replacement with a Björk-Shiley prosthesis Journal of Heart Valve Disease 10(4): 548-549
Harris, J.; Anderson, D.; Chambers, J. 2002: Image of the month. Pannus-overgrowth in a Björk-Shiley valve in the mitral position Journal of heart valve disease 11(2): 296
Budano, S.; Mangano, S.; Nicolosi, G.L. 1989: Usefulness of the Doppler color technic in the diagnosis of thrombosis in a mitral valve mechanical prosthesis and in the monitoring of the results of thrombolytic therapy Giornale Italiano di Cardiologia 19(1): 63-66
Kanazawa, H.; Kasuya, S.; Takeuchi, N.; Sakashita, I. 1987: Fracture of the minor strut of a Björk-Shiley mitral valve: emergency operation with survival Kyobu Geka. Japanese Journal of Thoracic Surgery 40(7): 597-600
Bortolini, F.; Rodella, P.; Cerqui, F.; Bellet, C. 1987: Fatal rupture of the ventricular strut of a Björk-Shiley prosthesis in mitral position. Description of a case, review of the literature and elements of differential diagnosis Giornale Italiano di Cardiologia 17(8): 718-721