A global perspective on mechanical prosthetic heart valve thrombosis: Diagnostic and therapeutic challenges

被引：52

作者：

Gursoy, Mustafa Ozan ^{[1
]}

Kalcik, Macit ^{[2
]}

Yesin, Mahmut ^{[3
]}

Karakoyun, Suleyman ^{[4
]}

Bayam, Emrah ^{[5
]}

Gunduz, Sabahattin ^{[5
]}

Ozkan, Mehmet ^{[6
]}

机构：

[1] Gaziemir State Hosp, Dept Cardiol, TR-3500 Izmir, Turkey

[2] Hitit Univ, Corum Training & Res Hosp, Dept Cardiol, Corum, Turkey

[3] Kars Harakani State Hosp, Dept Cardiol, Kars, Turkey

[4] Kars Kafkas Univ, Fac Med, Dept Cardiol, Kars, Turkey

[5] Kosuyolu Kartal Heart Training & Res Hosp, Dept Cardiol, Istanbul, Turkey

[6] Ardahan Univ, Sch Hlth Sci, Ardahan, Turkey

来源：

ANATOLIAN JOURNAL OF CARDIOLOGY | 2016年 / 16卷 / 12期

关键词：

prosthetic heart valve; thrombosis; diagnosis; management; 3-DIMENSIONAL TRANSESOPHAGEAL ECHOCARDIOGRAPHY; MITRAL-VALVE; THROMBOLYTIC THERAPY; NONOBSTRUCTIVE THROMBOSIS; PLASMINOGEN-ACTIVATOR; INCREMENTAL VALUE; SLOW INFUSION; MANAGEMENT; TIME; PATIENT;

D O I：

10.14744/AnatolJCardiol.2016.7486

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Prosthetic valve thrombosis is one of the major causes of primary valve failure, which can be life-threatening. Multimodality imaging is necessary for determination of leaflet immobilization, cause of underlying pathology (thrombus versus pannus or both), and whether thrombolytic therapy attempt in the patient would be successful or surgery is needed. Current guidelines for the management of prosthetic valve thrombosis lack definitive class I recommendations due to lack of randomized controlled trials, and usually leave the choice of treatment to the clinician's experience. In this review, we aimed to summarize the pathogenesis, diagnosis, and management of mechanical prosthetic valve thrombosis.

引用

页码：980 / 989

页数：10

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