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  • Title: Conservative management of a prosthetic valve thrombosis--report of a successful case.
    Author: Sousa C, Almeida J, Dias P, Almeida P, Rangel I, Araújo V, Macedo F, Maciel MJ.
    Journal: Heart Lung Circ; 2014 Oct; 23(10):e207-9. PubMed ID: 24954710.
    Abstract:
    Prosthetic valve thrombosis (PVT) refers to the presence of non infective material in valvular apparatus, interfering with its function. It is a potentially fatal complication of valvular replacement surgery. Treatment options include surgery, fibrinolysis and anticoagulation optimisation. The authors present the case of a young man, carrier of an aortic prosthetic mechanical valve, who didn't take his anticoagulant medicine, admitted for an acute obstructive PVT, with evidence of a large thrombotic mass on the aortic valve (> 1cm(2)). The patient refused surgical treatment and eventually presented a complete resolution of the acute PVT with anticoagulation optimisation.
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