| Late thrombotic malfunction of the Björk-Shiley tilting disc valve in the tricuspid position. Principles for recognition and management. | |
| | |
MedLine Citation:
|
PMID: 7375889 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Among 52 consecutive patients surviving tricuspid valve replacement with the Björk-Shiley tilting disc valve, follow-up extends between 1/2-9 years, mean 4.9 years. Four patients suffered thrombotic obstruction of their tricuspid prosthesis on 8 occasions, an incidence of 3.2%/year. Ebstein's anomaly and deficient anticoagulation were identified as likely contributory factors, but the complication remained unexplained in 2/8 instances. Thrombotic malfunction of the tricuspid prosthesis seems to constitute a relatively benign clinical entity with mild manifestations and diagnostic possibilities by non-invasive methods. Relief by means of thrombolytic treatment in the form of streptokinase (Kabikinase) (4) or replacement of the clotted prosthesis (4) involved neither disabling complications nor mortality. Our clinical observations and experimental studies suggest that thrombolytic therapy is effective, provided that prosthetic malfunction is due to a recent red clot, whereas encapsulation of the prosthetic disc by organized white-grey pannus necessitates re-operation. Streptokinase treatment should be attempted before surgery, but it is hardly meaningful to proceed for more than 24 hours. Restored prosthetic function within this time limit indicates the likely resolution of a red clot. |
| | |
Authors:
|
A Péterffy; A Henze; G F Savidge; C Landou; V O Björk |
Related Documents
:
|
7632809 - Comparison of scoring systems in primary myelodysplastic syndromes. 15200979 - Repair of atrioventricular valve regurgitation in the modified fontan operation. 17640339 - Short-term and one-year outcome of infective endocarditis in adult patients treated in ... 9155609 - Poor clinical performance of the wessex porcine heart valve bioprosthesis at nine years... 7671899 - Bioprosthetic valve replacement in the elderly. 2764609 - Cardiac valve replacement in the elderly: clinical performance of biological prostheses. 16394379 - Tolerance and safety of superficial chemical peeling with salicylic acid in various fac... 12432979 - Metronidazole-induced pancreatitis in a patient with recurrent vaginal trichomoniasis. 23053509 - Is paromomycin the drug of choice for eradication of blastocystis in adults? |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Scandinavian journal of thoracic and cardiovascular surgery Volume: 14 ISSN: 0036-5580 ISO Abbreviation: Scand J Thorac Cardiovasc Surg Publication Date: 1980 |
Date Detail:
|
Created Date: 1980-07-26 Completed Date: 1980-07-26 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 0121343 Medline TA: Scand J Thorac Cardiovasc Surg Country: SWEDEN |
Other Details:
|
Languages: eng Pagination: 33-41 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Angiocardiography Cineradiography Follow-Up Studies Heart Valve Prosthesis / adverse effects* Humans Prognosis Streptokinase / adverse effects, therapeutic use Thromboembolism / drug therapy, etiology*, radiography Time Factors Tricuspid Valve / radiography, surgery* |
| Chemical | |
Reg. No./Substance:
|
EC 3.4.-/Streptokinase |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Central haemodynamics at rest and during exercise before and after combined aortic and mitral valve ...
Next Document: Myocardial protection during aortic valve replacement. Cardiac metabolism and enzyme release followi...