Korean Circ J.  2006 May;36(5):400-403. 10.4070/kcj.2006.36.5.400.

Successful Treatment of Prosthetic Tricuspid Valve Thrombosis with Repeated Urokinase Therapy

Affiliations
  • 1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. swpark@smc.samsung.co.kr
  • 2Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Abstract

Prosthetic valve thrombosis (PVT) can be a life-threatening complication that requires immediate treatment. This is a case report on repeated thrombolytic therapy for thrombosis of a prosthetic tricuspid valve. After repeated urokinase therapy, mechanical clicks were audible and the hemodynamics of the patient rapidly improved. Echocardiography showed the disappearance of thrombi and a normalized pressure gradient. Cine-fluoroscopy showed a well-functioning prosthetic valve.

Keyword

Thrombosis; Thrombolytic therapy

MeSH Terms

Echocardiography
Hemodynamics
Humans
Thrombolytic Therapy
Thrombosis*
Tricuspid Valve*
Urokinase-Type Plasminogen Activator*
Urokinase-Type Plasminogen Activator
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