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October 1, 2010The Heart Surgery ForumOpen Access

Surgical Treatment of Early Acute Thrombosis of Mechanical Mitral Prosthesis

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Population

1 44-year-old woman with rheumatic heart disease, severe mitral valve stenosis, moderate tricuspid valve…

Design

Case_report

Follow-up

12 months

Authors

SJShengli JiangTZTao ZhangCRChonglei Ren

Discussion

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Overview

Supports consideration of emergent surgery in acute mechanical valve thrombosis; leaves open comparative effectiveness versus thrombolysis in larger cohorts.

Structured PICO

P
Population
1 44-year-old woman with rheumatic heart disease, severe mitral valve stenosis, moderate tricuspid valve insufficiency, and atrial fibrillation who underwent transseptal mitral valve replacement and tricuspid valvuloplasty.
I
Intervention
Emergent surgical replacement of the thrombosed mechanical mitral prosthesis with another mechanical prosthesis.
O
Outcome
Patient recovery and prosthetic valve/heart function at 12 monthshard clinical

Emergent surgical replacement can successfully treat early acute thrombosis of a mechanical mitral prosthesis, a rare but life-threatening complication that can occur despite satisfactory anticoagulation.

Cite This Study

Jiang et al. (2010) studied this question.

synapsesocial.com/papers/6a91209417bbbfe73e745debhttps://doi.org/10.1532/hsf98.20101032
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Also Consider

Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Acute thrombosis of prosthetic valves: a multivariate analysis of the risk factors for a lifethreatening event1992 · 48 citations
  2. 2Surgical Treatment of Left-sided Prosthetic Valve Thrombosis: Short and Long-term Results2005 · 15 citations