Jedliński Ireneusz, Duszyńska Małgorzata, Wojna Jan, Kulczak Mariusz, Kalawski Ryszard, Poprawski Kajetan
Oddział Kardiologiczny, Szpital im. J. Strusia, ul. Szkolna 8/12, 61-833 Poznań.
Kardiol Pol. 2009 Jan;67(1):58-60; discussion 61.
We reported a rare case of acute thrombosis of mechanical mitral prosthesis. A 58-year-old man underwent mitral valve replacement using St. Jude Medical mechanical valve prosthesis because of rheumatic heart disease 3 years ago. On admission he presented symptoms and signs of heart failure (NYHA class IV). Transthoracic transesophageal echocardiogram revealed mixed prosthetic mitral valve dysfunction. Disturbances of discs movements caused by thrombosis were observed. After unsuccessful thrombolytic treatment patient underwent biological mitral valve replacement.
我们报告了一例罕见的机械二尖瓣假体急性血栓形成病例。一名58岁男性因风湿性心脏病于3年前接受了使用圣犹达医疗机械瓣膜假体的二尖瓣置换术。入院时，他出现了心力衰竭的症状和体征（纽约心脏协会IV级）。经胸经食管超声心动图显示二尖瓣假体出现混合性功能障碍。观察到血栓形成导致的瓣膜盘运动紊乱。在溶栓治疗失败后，患者接受了生物二尖瓣置换术。
