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Mechanical tricuspid valve thrombosis: A midterm follow-up study
Maryam Shojaeifard1, Negar Omidi2, Sajad Erami3
1Departement of Echocardiography, Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.
Journal of Cardiac Surgery
|January 24, 2022
Summary
Mechanical tricuspid valve thrombosis is common and requires individualized management. Recurrent thrombosis is a major complication, highlighting the need for close patient follow-up.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Biomedical Engineering
Background:
- Prosthetic tricuspid valve (TV) thrombosis occurs most frequently among heart valves.
- Untreated TV thrombosis leads to significant morbidity and mortality.
- This study focuses on the management and outcomes of mechanical TV thrombosis.
Purpose of the Study:
- To report the management strategies for patients with mechanical tricuspid valve thrombosis.
- To evaluate the clinical outcomes associated with different treatment approaches.
- To identify complications and long-term results in this patient cohort.
Main Methods:
- A retrospective analysis of 42 patients with mechanical TV thrombosis from 2006 to 2017.
- Assessment of baseline characteristics and adverse events during follow-up.
- Evaluation of treatment modalities including thrombolytic therapy, anticoagulant intensification, and surgery.
Main Results:
- 67 episodes of mechanical TV thrombosis were observed in 42 patients.
- Thrombolytic therapy was the primary approach in 61.1% of episodes.
- Recurrent thrombosis rates were 84% at 1 year, decreasing to 21% at 10 years.
- Survival and freedom from chronic valve dysfunction rates were high at 1 year (93% and 82%, respectively), declining over time.
Conclusions:
- Recurrent thrombosis is a significant complication of mechanical TV prostheses.
- Individualized therapeutic approaches are crucial for managing mechanical TV thrombosis.
- Close monitoring and follow-up are essential for patients with mechanical TV thrombosis.
Keywords:
mechanical prosthetic valve thrombosisprostheticthrombolytic therapythrombosistricuspid valveMore Related Videos
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