ABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Thrombosis/complications , Thrombosis/diagnosis , Thrombosis/surgery , Fibrinolysis/physiology , Echocardiography/methods , Prostheses and Implants , Heparin/therapeutic use , Acenocoumarol/therapeutic use , Tricuspid Valve/surgery , Tricuspid Valve Insufficiency/complications , Tricuspid Valve Insufficiency/surgery , Radiography, Thoracic/methodsABSTRACT
The incidence of mitral prosthetic valve thrombosis is low and generally dependent on low levels of anticoagulation. The clinical presentation is highly variable and ranges from asymptomatic patient though to arterial embolism or hemodynamic symptoms of valve obstruction. We report a case of a patient with presyncope and prosthetic mitral valve dysfunction with intermittent flow obstruction.
Subject(s)
Heart Valve Prosthesis/adverse effects , Mitral Valve Insufficiency/etiology , Mitral Valve/surgery , Postoperative Complications/etiology , Syncope/etiology , Thrombosis/etiology , Anticoagulants/therapeutic use , Anticonvulsants/therapeutic use , Atrial Fibrillation/etiology , Diagnostic Errors , Electroencephalography , Epilepsies, Partial/diagnosis , Epilepsies, Partial/drug therapy , Female , Humans , Intracranial Embolism/etiology , Middle Aged , Mitral Valve Insufficiency/diagnostic imaging , Mitral Valve Stenosis/complications , Mitral Valve Stenosis/surgery , Oximetry , Phenytoin/therapeutic use , Reoperation , Syncope/diagnosis , Syncope/surgery , Thrombosis/drug therapy , UltrasonographyABSTRACT
La trombosis protésica mitral es una entidad poco frecuente, cuya incidencia se relaciona habitualmente con niveles bajos de anticoagulación. La presentación clínica varía desde pacientes asintomáticos, embolismo arterial o compromiso hemodinámico por obstrucción. Presentamos el caso de una disfunción protésica mitral con cuadros presincopales por obstrucción intermitente al flujo
The incidence of mitral prosthetic valve thrombosis is low and generally dependent on low levels of anticoagulation. The clinical presentation is highly variable and range from asintomatic patient though to arterial embolism or hemodinamic symptoms of valve obstruction. We report a case of a patient with presyncope and prosthetic mitral valve dysfunction with intermitent flow obstruction
