Obstructive bioprosthetic mitral valve thrombus: management options?

Asian Cardiovasc Thorac Ann. 2014 Oct;22(8):975-8. doi: 10.1177/0218492313491582. Epub 2013 Oct 18.

Abstract

Bioprosthetic valve thrombosis is an extremely rare event, therefore, long-term anticoagulation can be avoided. There is limited experience in the diagnosis and treatment of such a situation. We present the case of a patient with a porcine mitral bioprosthesis who presented with acute pulmonary edema, likely secondary to obstructive valve thrombosis. A favorable outcome was observed after conservative anticoagulant treatment.

Keywords: Anticoagulants; Bioprosthesis; Contraceptives; Echocardiography; Mitral valve insufficiency; Thrombosis; hormonal; oral; transesophageal.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / therapeutic use*
  • Bioprosthesis*
  • Echocardiography, Doppler, Color
  • Echocardiography, Transesophageal
  • Female
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / instrumentation*
  • Heart Valve Prosthesis*
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / physiopathology
  • Mitral Valve / surgery*
  • Mitral Valve Stenosis / diagnosis
  • Mitral Valve Stenosis / physiopathology
  • Mitral Valve Stenosis / surgery*
  • Prosthesis Design
  • Prosthesis Failure*
  • Pulmonary Edema / etiology
  • Thrombosis / diagnosis
  • Thrombosis / drug therapy*
  • Thrombosis / etiology
  • Treatment Outcome

Substances

  • Anticoagulants