Saatvedt K, Lindberg H, Nordstrand K
Kirurgisk avdeling A Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1991 Jun 10;111(15):1847-8.
The usual treatment of acute heart valve thrombosis is thrombectomy or heart valve replacement. During the last 20 years there have been a few reports of thrombolytic treatment for heart valve thrombosis. We report the successful treatment of two patients with a thrombosed tricuspid heart valve. Both patients received streptokinase. The diagnosis of heart valve thrombosis was based on the clinical status of the patients, cineradiology and echocardiography. Both patients received the combination of salicylic acid and warfarin after streptokinase treatment. Follow-up has shown well functioning heart valves in both patients.
急性心脏瓣膜血栓形成的常规治疗方法是血栓切除术或心脏瓣膜置换术。在过去20年里,有一些关于心脏瓣膜血栓形成的溶栓治疗的报道。我们报告了两例三尖瓣血栓形成患者的成功治疗案例。两名患者均接受了链激酶治疗。心脏瓣膜血栓形成的诊断基于患者的临床状况、心血管造影和超声心动图。两名患者在接受链激酶治疗后均接受了水杨酸和华法林的联合治疗。随访显示两名患者的心脏瓣膜功能良好。