Successful treatment of a recently thrombosed Bjork-Shiley mitral prosthesis with streptokinase--case report

Recent thrombus on a Bjork-Shiley valve in mitral position was suspected clinically because of absence of valve clicks. On echocardiography partial obstruction of occluder was diagnosed. Streptokinase therapy was given for 4 days. Post-therapy echocardiogram, phono-cardiogram and cinefluoroscopy showed full disc excursion and patient is fine for last 6 months.