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Updated: Aug 14, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Prosthetic heart valve thrombosis: a 3-year experience]
Y Shapira1, R Hirsch, R Jortner
1Sheingarten Echocardiography Unit, Rabin Medical Center, Petah Tikva.
Harefuah
|February 14, 1998
Summary
Prosthetic heart valve thrombosis, often seen in mitral or tricuspid valves, occurs with inadequate anticoagulation. Early diagnosis and treatment, including surgery or thrombolysis, are crucial for managing this severe complication.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Diagnostics
Context:
- Prosthetic heart valve thrombosis (PHVT) is a serious complication following mechanical heart valve replacement.
- Inadequate anticoagulation is a primary risk factor associated with PHVT.
- Bileaflet mechanical valves, particularly mitral and tricuspid prostheses, are frequently involved.
Purpose:
- To present a series of patients diagnosed with prosthetic heart valve thrombosis.
- To analyze the clinical presentation, diagnostic methods, and therapeutic outcomes of PHVT.
- To emphasize the importance of timely diagnosis and management of PHVT.
Summary:
- A retrospective analysis of 16 episodes of PHVT in 12 patients over three years.
- Patients presented with acute, subacute, or chronic symptoms, often with physical signs of valve dysfunction.
- Diagnostic modalities included echocardiography and fluoroscopy, with transesophageal echocardiography proving particularly useful.
- Treatment strategies involved surgical valve re-replacement or thrombolysis, achieving successful outcomes in most cases.
Impact:
- Highlights the potential severity and fatality of PHVT, necessitating heightened clinical suspicion.
- Underscores the role of prompt diagnosis through advanced imaging in guiding effective treatment strategies.
- Promotes awareness among healthcare professionals for earlier detection and improved patient management of PHVT.
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