ISSN: 2329-9495
+44 1478 350008
Dr, Cardiac Sciences Department, College of Medicine, Riyadh, Saudi Arabia
Mostafa Q Al-Shamiri completed his M.D and is working at Cardiac Sciences department, College of Medicine, King Saud University, Riyadh, Saudi Arabia. His research interest are in cardiac sciences and his research work is based on cardiac arrest.
Case Report
Successful Thrombolytic Treatment of a Thrombosed Mechanical Mitral Valve in a Post-brain Surgery Patient- A Case Report and Literature Review
Author(s): Mostafa Q Al-Shamiri*
The first-line management of prosthetic valve thrombosis is not yet finalized; dealing with such cases remains a clinical challenge and requires prompt detection, timely diagnosis and individualized case management regardless of whether the case in question requires a surgical or medical therapeutic approach. We report a unique case of mechanical mitral valve thrombosis post Bentall procedure with a double aortic-mitral valve replacement in a patient who previously underwent brain surgery after experiencing a Road Traffic Accident (RTA). The patient was successfully treated by using a combined loading and infusion regimen of tissue-Plasminogen Activators (t-PA). A small loading dose of 15 mg followed by a low-dose slow infusion of t-PA has been shown to provide effective and safe thrombolysis in high-risk patients with prosthetic valve thrombosis... View More»
DOI:
10.35248/2329-9495.19.7.226