Zaghloul Ahmed, Iorgoveanu Corina, Desai Aakash, Silkowski Molly, Balakumaran Kathir
Internal Medicine, University of Connecticut Health Center, Farmington, USA.
Internal Medicine, Ohio State University, Ohio, USA.
Cureus. 2018 Jul 5;10(7):e2928. doi: 10.7759/cureus.2928.
Prosthetic valve thrombosis, a serious complication of prosthetic valve replacement, can be lethal without proper treatment. Right-sided valve thrombosis is rare but several therapeutic modalities can be considered: anticoagulation therapy, fibrinolysis, or surgery. Here, we report a case of significant tricuspid valve thrombosis which failed fibrinolytic therapy requiring repeat sternotomy with repeat tricuspid valve replacement with a porcine bioprosthesis.
人工瓣膜血栓形成是人工瓣膜置换术的一种严重并发症,若不进行适当治疗可能会致命。右侧瓣膜血栓形成较为罕见,但可考虑几种治疗方式:抗凝治疗、纤维蛋白溶解疗法或手术。在此,我们报告一例严重的三尖瓣血栓形成病例,该病例纤维蛋白溶解疗法失败,需要再次开胸并再次置换猪生物瓣三尖瓣。