Shin Hyo-Sun, Kim Kyung-Hee, Lee Hee-Sun, Choi Hong-Mi, Lee Seung-Ah, Park Eun-Ah, Kim Hyung-Kwan
Division of Cardiology, Department of Internal Medicine, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Department of Radiology, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
J Cardiovasc Ultrasound. 2013 Dec;21(4):192-6. doi: 10.4250/jcu.2013.21.4.192. Epub 2013 Dec 27.
Prosthetic valve thrombosis (PVT) can be a life-threatening complication that requires immediate treatment. We present a case of 57-year-old woman with tricuspid PVT who was definitely diagnosed by multi-detector-row computed tomography limited with echocardiography. The patient was treated successfully with an alternative approach using low molecular weight heparin bridging therapy followed by intensifying anticoagulation alone.
人工瓣膜血栓形成(PVT)可能是一种危及生命的并发症,需要立即治疗。我们报告一例57岁患有三尖瓣PVT的女性病例,该病例通过多排探测器计算机断层扫描并结合超声心动图得以明确诊断。该患者采用低分子量肝素桥接治疗,随后单独强化抗凝的替代方法成功治愈。