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  • Title: Thrombus attached to suture materials successfully thrombolysed with low-dose tissue plasminogen activator.
    Author: Kalçık M, Gürsoy OM, Karakoyun S, Ozkan M.
    Journal: Turk Kardiyol Dern Ars; 2014 Jan; 42(1):61-3. PubMed ID: 24481097.
    Abstract:
    Mechanical prosthetic heart valve thrombosis is one of the most common complications of valve surgery. We herein describe an unusual clinical vignette. A 60-year-old man who underwent prosthetic mitral valve reoperation suffered from nonobstructive thrombus attached to the elongated suture materials in the postoperative sixth month. The thrombus was precisely depicted by two- and three-dimensional transesophageal echocardiography and was successfully lysed with low-dose slow infusion of tissue plasminogen activator after failed heparin treatment.
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