MITRAL MECHANICAL PROSTHETIC VALVE THROMBOSIS FOUR YEARS AFTER DISCONTINUING ANTICOAGULATION: A CASE REPORT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 29
Abstract
A 40 years lady who underwent a mitral valve replacement with a mechancial prosthesis nine years ago, stopped oral anticoagulants totally. She was asymptomatic and doing her field job with good exercise tolerance for 4 years without any anticoagulation or follow-up and presented now with acute pulmonary edema due to prosthetic valve thrombosis. Echocardiography revealed a large clot on the mitral valve and increased Doppler gradients across the valve. She was given intravenous streptokinase for 28 hours with relief of symptoms, re-appearance of prosthetic valve click and normalisation of flow velocities. She was prescribed oral acenocoumarol and discharged in a stable condition.
Authors and Affiliations
Ravi Chitrapu, Srinivasa Rao, Saheb Peer, Ram Pakkira, Subrahmanya Sarma
Keywords
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- EP ID EP106483
- DOI 10.14260/jemds/2015/739
- Views 90
- Downloads 0
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