一例生物瓣二尖瓣功能障碍病例，最初表现为瓣膜血栓形成，随后出现反复血栓形成和心内膜炎。
A Case of Bioprosthetic Mitral Valve Dysfunction, Initially Presenting with Valve Thrombosis Followed by Recurrent Thrombosis and Endocarditis.
作者信息
Apostolidou Eirini, Beale Charles, Poppas Athena, Stockwell Philip, Ehsan Afshin
机构信息
Section of Cardiology and Cardiothoracic Surgery, Rhode Island Hospital, Brown University, Providence, Rhode Island.
出版信息
CASE (Phila). 2019 Jul 3;3(5):210-214. doi: 10.1016/j.case.2019.05.005. eCollection 2019 Oct.
• Bioprosthetic valve thrombosis (BPVT) can occur beyond 3 months postimplantation. • BPVT can reoccur after successful treatment with fibrinolysis and anticoagulation. • Other forms of bioprosthetic valve dysfunction can coexist with thrombosis. • Echocardiography can promptly diagnose bioprosthesis thrombosis. • Management requires valve replacement, thrombolysis, or anticoagulation. • After BPVT long-term anticoagulation may be required.
• 生物瓣血栓形成（BPVT）可在植入后3个月以上发生。
• BPVT在成功进行纤溶和抗凝治疗后可能复发。
• 生物瓣功能障碍的其他形式可与血栓形成并存。
• 超声心动图可迅速诊断生物瓣血栓形成。
• 治疗需要瓣膜置换、溶栓或抗凝。
• BPVT后可能需要长期抗凝。
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