ABSTRACT
A case of a 50-year-old woman with prosthetic mitral valve complicated by severe thrombosis as an effect of incorrect anticoagulation treatment during rectal cancer biopsy, is presented. During echocardiographic evaluation a dysfunction prosthetic mitral valve with extremely high maximal mitral gradient (50.2 mmHg) was found. The patient was qualified for surgical intervention and mechanical prosthetic mitral valve was replaced by a biological one. This report underlines the difficulties in the anticoagulation therapy in patients with prosthetic heart valves.
Subject(s)
Anticoagulants/adverse effects , Heart Valve Prosthesis/adverse effects , Mitral Valve Stenosis/etiology , Rectal Neoplasms/pathology , Thrombosis/etiology , Acute Disease , Biopsy , Echocardiography, Transesophageal , Female , Humans , Middle Aged , Mitral Valve/surgery , Mitral Valve Stenosis/diagnostic imaging , Mitral Valve Stenosis/surgery , Prognosis , Thrombosis/surgeryABSTRACT
We describe a case of 67-year-old man suffering from chronic aortic arch aneurysm complicated by rupture and hemorrhage to the left pleural cavity. The patient underwent emergency hybrid operation: extraanatomical transposition of aortic arch branches to ascending aorta and implantation of stentgraft into the arch without the extracorporeal circulation.