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[Thrombolytic therapy in thrombosis of prosthesis]
V P Campagnucci1, H Y Suzuki, R A Franken
1Faculdade de Ciências Médicas da Santa Casa de Misericórdia de São Paulo.
Purpose:
To relate our experience with thrombolytic therapy in 8 patients with cardiac metal prosthesis complicated with thrombosis.
Methods:
Eight patients with clinical and echocardiographic diagnosis of cardiac valvar prosthesis thrombosis were treated.
Results:
The treatment efficacy was evaluated by clinical and echocardiographic improvement. The authors recognized improvement in all 8 patients. One case of hemorrhage was observed (coxo-femoral articulation). Late death were observed twice: 24 months after, sudden death and 30 months later by hemorrhagic stroke.
Conclusion:
The results indicated that thrombolytic therapy is best way to treat patients with cardiac valve thrombosis, instead of surgical treatment.