BACKGROUND: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. CASE PRESENTATION: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. CONCLUSION: This unlucky case raises a word of caution about the safety of a reactive management.
Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management / M. Gennari, G. Polvani, M. Pepi, F. Arlati, A. Annoni, M. Agrifoglio. - In: JOURNAL OF CARDIOTHORACIC SURGERY. - ISSN 1749-8090. - 13:1(2018 Dec 17). [10.1186/s13019-018-0816-4]
Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management
G. Polvani
;M. Agrifoglio
Ultimo
2018
Abstract
BACKGROUND: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. CASE PRESENTATION: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. CONCLUSION: This unlucky case raises a word of caution about the safety of a reactive management.
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