Replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after repeated thrombolytic therapy

A 49-year-old man who had undergone repair of tetralogy of Fallot underwent replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after intravenous thrombolytic therapy. Dysfunction of the prosthetic valve was detected clinically by change of heart sound and the appearance of...

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Bibliographic Details
Published inThe Thoracic and cardiovascular surgeon Vol. 40; no. 2; p. 99
Main Authors Okita, Y, Miki, S, Kusuhara, K, Ueda, Y, Tahata, T, Sakai, T
Format Journal Article
LanguageEnglish
Published Germany 01.04.1992
Subjects
Adult
Coronary Thrombosis - etiology
Coronary Thrombosis - surgery
Heart Valve Prosthesis - adverse effects
Humans
Male
Pulmonary Valve - surgery
Recurrence
Reoperation
Tetralogy of Fallot - surgery
Thrombolytic Therapy - adverse effects
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Summary:A 49-year-old man who had undergone repair of tetralogy of Fallot underwent replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after intravenous thrombolytic therapy. Dysfunction of the prosthetic valve was detected clinically by change of heart sound and the appearance of a new diastolic murmur. Cinefluoroscopy confirmed fixation of both leaflets. Although thrombolytic therapy using urokinase was successful twice, the prosthesis was replaced with a Carpentier-Edwards bioprosthesis due to recurrent prosthetic dysfunction.
ISSN:0171-6425
DOI:10.1055/s-2007-1020123