Recurrent mechanical prosthetic valve thrombosis: Another clinical challenge
Fidel Manuel Caceres-Loriga a, Humberto Morais b c, Hilaryano Da Silva Ferreira d e
a) Doctors HealthCare, FL, USA
b) Hospital Militar Principal/Instituto Superior, Luanda, Angola
c) Girassol Clinic, Luanda, Angola
d) Unidade Local de Saúde Santa Maria, Lisbon, Portugal
e) Católica Medical School, Universidade Católica Portuguesa, Lisbon. Portugal
Highlights
• Recurrent mechanical prosthetic valve thrombosis occurred in 27 % of patients after thrombolysis,.
• Recurrences were seen more often in right-sided valves, which have higher thrombogenic risk.
• Multimodality imaging is crucial to differentiate thrombus from pannus and guide treatment.
• Genetic and hemostatic profiling may aid in preventing recurrence.
• Repeat low-dose thrombolysis is effective and safe, especially for right-sided valves.