Clinical & Experimental Cardiology
Open Access
ISSN: 2155-9880
+44 1300 500008
ISSN: 2155-9880
+44 1300 500008
Srinivasa Kumaran and Nagarajan
MGR Medical University, India
Scientific Tracks Abstracts: J Clin Exp Cardiolog
Statement of the Problem: Prosthetic valve thrombosis is a rare but serious complication of valve replacement, most oft en encountered with mechanical prostheses. Th e incidence of prosthetic valve thrombosis varies according to the following variables: effi cacy of anticoagulation; type and location of the implanted prosthesis; and presence of atrial fi brillation. Obstruction of the prosthesis is more frequent during the fi rst postoperative year. Th e clinical fi ndings vary from lack of symptoms to extreme cases of cardiogenic shock. Th e most common symptoms are progressive dyspnea on exertion, lipothymia, and syncope. Systemic embolism and acute pulmonary edema may also be the fi rst manifestations of the disease. For any given patient, the risks of thrombolytic therapy, including bleeding, systemic embolism, and failure to restore valvular function, must be weighed against the risks of surgical intervention. Once the decision is made to operate, the choice of valve replacement versus debridement is best made intraoperatively, upon visual inspection of the valve apparatus. We report a case of a perimenopausal woman who underwent mitral valve replacement 4 years back presenting with symptoms of congestive cardiac failure. Th e patient was diagnosed with valve thrombosis from a transthoracic echocardiogram and underwent valve replacement. Th e relevant literature is reviewed.
Srinivasa Kumaran has passion in both adult and paediatric cardiac surgery. Graduated from Dr. MGR medical university in the year 2006 and has 7 years experience in general surgery and 3 years experience in cardiothoracic surgery.