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Thrombus attached to suture materials successfully thrombolysed with low-dose tissue plasminogen activator.

Authors
  • Kalçık, Macit
  • Gu Rsoy, Ozan Mustafa
  • Karakoyun, Su Leyman
  • Ozkan, Mehmet
Type
Published Article
Journal
Türk Kardiyoloji Derneği arşivi : Türk Kardiyoloji Derneğinin yayın organıdır
Publication Date
Jan 01, 2014
Volume
42
Issue
1
Pages
61–63
Identifiers
DOI: 10.5543/tkda.2014.28227
PMID: 24481097
Source
Medline
License
Unknown

Abstract

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.

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