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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Published in | The Thoracic and cardiovascular surgeon Vol. 40; no. 2; p. 99 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
Published |
Germany
01.04.1992
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Subjects | |
Online Access | Get more information |
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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. |
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ISSN: | 0171-6425 |
DOI: | 10.1055/s-2007-1020123 |