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  • Title: Replacement of a thrombosed St. Jude Medical prosthesis in pulmonary position after repeated thrombolytic therapy.
    Author: Okita Y, Miki S, Kusuhara K, Ueda Y, Tahata T, Sakai T.
    Journal: Thorac Cardiovasc Surg; 1992 Apr; 40(2):99-101. PubMed ID: 1631881.
    Abstract:
    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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