Successful thrombolytic therapy for stuck mitral mechanical valve

Thrombosis of a mechanical prosthetic valve is a serious and fortunately it is a rare complication of cardiac valve replacement. We present a case of prosthetic mechanical valve [On-X 31/33 mm] thrombosis [thrombus size 8x14 mm] on a mitral position, which was treated with a successful intravenous thrombolytic therapy of streptokinase infusion over 10 hours repeated twice with no complications