Unusual presentation of mitral prosthetic heart valve thrombosis managed with low dose tenecteplase infusion

A 11-year-old with history of mitral valve replacement presented with low-grade fever, breathlessness and multiple episodes of haemoptysis for 2 days. Detailed echocardiographic evaluation revealed possible prosthetic valve thrombosis, which was confirmed by fluoroscopy. She was thrombolysed with lo...

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Bibliographic Details
Published inCardiology in the young Vol. 31; no. 8; pp. 1353 - 1355
Main Authors Ahmed, A. Shaheer, Gupta, Shivank
Format Journal Article
LanguageEnglish
Published Cambridge, UK Cambridge University Press 01.08.2021
Subjects
Cardiac arrhythmia
Cardiology
Electrocardiography
Endocarditis
Fever
Fluoroscopy
General Cardiology
Heart failure
Heart rate
Heart valves
Hypertension
Mitral valve
Patients
Prostheses
Prosthetic valves
Success
Thromboembolism
Thrombolysis
Thrombosis
haemoptysis
Prosthetic heart valve thrombosis
tenecteplase
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Summary:A 11-year-old with history of mitral valve replacement presented with low-grade fever, breathlessness and multiple episodes of haemoptysis for 2 days. Detailed echocardiographic evaluation revealed possible prosthetic valve thrombosis, which was confirmed by fluoroscopy. She was thrombolysed with low dose infusion of tenecteplase. Post thrombolysis her symptoms improved, valve mobility was restored, and haemoptysis subsided. Left sided prosthetic valve thrombosis presenting predominantly with haemoptysis is very rare.
Bibliography:ObjectType-Case Study-2
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ISSN:1047-9511
1467-1107
DOI:10.1017/S1047951121000603