Successful fibrinolytic treatment in a patient with acute mitral prosthetic thrombosis

A case is described of a 50 year-old man with an acute prosthetic dysfunction due to valve thrombosis and cardiogenic shock, on a prosthesis in the mitral position (Bjork-Shiley). The patient was promptly treated with a streptokinase in two infusions 1.5 x 10(6) UI over 180 and 90 minutes, respectiv...

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Bibliographic Details
Published in:	Revista española de cardiologia Vol. 42; no. 6; p. 422
Main Authors:	Cladellas, M, Rivera, I, Ortuño, F, Pons, G, Foncuberta, J, Montserrat, I, García Moll, M
Format:	Journal Article
Language:	Spanish
Published:	Spain 01-06-1989
Subjects:	Acute Disease Echocardiography, Doppler Heart Valve Diseases - complications Heart Valve Diseases - diagnosis Heart Valve Diseases - drug therapy Heart Valve Prosthesis Humans Male Middle Aged Mitral Valve Prosthesis Failure Shock, Cardiogenic - complications Streptokinase - therapeutic use Thrombosis - complications Thrombosis - diagnosis Thrombosis - drug therapy
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Summary:	A case is described of a 50 year-old man with an acute prosthetic dysfunction due to valve thrombosis and cardiogenic shock, on a prosthesis in the mitral position (Bjork-Shiley). The patient was promptly treated with a streptokinase in two infusions 1.5 x 10(6) UI over 180 and 90 minutes, respectively. Early clinical, fluoroscopy and echocardiography improvement was observed. The authors comment the present role of the thrombolytic therapy in front of surgery of prosthetic valve thrombosis.
ISSN:	0300-8932