Downloads: 165 | Views: 291
Research Paper | Cardiology Science | India | Volume 8 Issue 11, November 2019 | Popularity: 6.7 / 10
Prosthetic Valve Thrombosis: A Clinical, Echocardiographic and Cinefluoroscopic Study with Special Reference to Thrombolytic Therapy
Suneetha Karumuri, Harsha Vardhan Reddy, Nitin Kabra
Abstract: Background: Prosthetic valve thrombosis (PVT) is a rare but serious complication of valve replacement, most often encountered with mechanical prostheses. The significant morbidity and mortality associated with this condition warrants rapid diagnostic evaluation. Transthoracic, TEE and Cinefluoroscopy represent the main diagnostic procedures. Methods: The present study is an institutional based single centre prospective and retrospective observational study conducted in patients who are admitted with diagnosis of prosthetic valve thrombosis to the Department Of Cardiology, Gandhi Medical college/Hospital, Secunderabad, Telangana, India. The study was conducted between April 2016 to February 2018. A total of 66 patients admitted to the department of cardiology with a diagnosis of prosthetic valve thrombosis. Results: A total of 66 patients included in this study had mean age of 35.2 10.5 years and 43 (65.15 %) are females and 23 (34.85 %) are males.58 (87.88 %) patients underwent MVR, 4 (6.06 %) underwent AVR and 4 (6.06 %) underwent DVR. Thrombolytic agent used was streptokinase in 65 (98.48 %) patients and 1 (1.52 %) received tenecteplase. The thrombolytic therapy was successful in 33 (50 %) patients, partially successful in 12 (18.18 %) and failure in 21 (31.82 %). In this study the overall success rate in 45 (68.18 %) patients. Among 66 patients, 4 patients not achieved clinical and hemodynamic improvement and 17 patients died. Complications during this study are 3 patients developed CVA because of embolism. CONCLUSION: Prosthetic valve thrombosis is an urgent life threatening medical emergency, which warrants rapid diagnostic assessment. Thrombolytic therapy is an effective and easily available treatment modality which can be rapidly instituted in patient with prosthetic valve thrombosis.
Keywords: PROSTHETIC VALVE THROMBOSIS, POST THROMBOLYTIC, ECHOCARDIOGRAPHIC, CINEFLUOROSCOPIC
Edition: Volume 8 Issue 11, November 2019
Pages: 233 - 237
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 0
Case Studies, Cardiology Science, Morocco, Volume 10 Issue 5, May 2021
Pages: 513 - 516Unwelcomed Guest to the Heart: Secondary Cardiac Localization of Non-Hodgkin's Lymphoma: About a Case and Review of Literature
Soumia Faid, Amina Samih, Nadif Meryem, Nadia Loudiyi, Zaimi Achraf, Najat Mouine, Ilyass Asfalou, Aatif Benyass
Downloads: 0
Analysis Study Research Paper, Cardiology Science, Sudan, Volume 12 Issue 3, March 2023
Pages: 1767 - 1774Echocardiographic Changes in Rheumatic Heart Disease Patient in Port Sudan
Manal Hamed Awad, Mohammed Gorashi Ahmed, Hoida Abd ELmaged, Adam Abdurrahman Hussein, Maha Awad Alkarim
Downloads: 2 | Weekly Hits: ⮙1 | Monthly Hits: ⮙2
Research Paper, Cardiology Science, India, Volume 12 Issue 6, June 2023
Pages: 145 - 148Association between Electrocardiographic Criteria of Left Atrial Enlargement and Left Atrial Volume Index by 2d Echocardiogram: Single Tertiary Care Centre Observational Study
Vinila N., Swaminathan N., Venkatesan S.
Downloads: 2 | Weekly Hits: ⮙2 | Monthly Hits: ⮙2
Research Paper, Cardiology Science, India, Volume 12 Issue 9, September 2023
Pages: 502 - 506Assessment of Clinical Profile and Echocardiographic Parameters of Right Ventricle in Correlation with Proximal RCA Lesion in Patients with Inferior Wall Myocardial Infarction
Gowripathy B, Kannan R, Suresh Kumar K
Downloads: 4 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper, Cardiology Science, India, Volume 11 Issue 8, August 2022
Pages: 52 - 57Effusive-Constrictive Pericarditis with Echocardiography - Its Importance
Sandeep P Chaurasia, PP Deshmukh, Harshwardhan V Khandait