Late thrombotic obstruction of an aortic bioprosthetic valve: Successful treatment by oral anticoagulation
Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier‐Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve.1, 4 Thrombolytic therapy for mechanical valve thrombosis has been used frequently even t...
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Veröffentlicht in: | Clinical cardiology (Mahwah, N.J.) N.J.), 1993-02, Vol.16 (2), p.152-154 |
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container_title | Clinical cardiology (Mahwah, N.J.) |
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creator | Juliard, Jean‐Michel Paillole, Catherine Dahan, Michel Gabriel Steg, P. Himbert, Dominique Aumont, Marie‐Claude |
description | Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier‐Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve.1, 4 Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to carry a high risk of embolism and recurrence.5 However, the use of this therapy was reported for the first time only recently,1 in a case of acute aortic thrombosis which occurred 3 1/2 months after bioprosthesis insertion. We report a case of late progressive thrombotic obstruction of a CE aortic valve 3 years after insertion. The case was successfully treated with Coumadin therapy, as confirmed by serial Doppler echocardiographic examinations and a 3‐year follow‐up. |
doi_str_mv | 10.1002/clc.4960160215 |
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Few cases have been reported involving the use of the Carpentier‐Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve.1, 4 Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to carry a high risk of embolism and recurrence.5 However, the use of this therapy was reported for the first time only recently,1 in a case of acute aortic thrombosis which occurred 3 1/2 months after bioprosthesis insertion. We report a case of late progressive thrombotic obstruction of a CE aortic valve 3 years after insertion. The case was successfully treated with Coumadin therapy, as confirmed by serial Doppler echocardiographic examinations and a 3‐year follow‐up.</description><identifier>ISSN: 0160-9289</identifier><identifier>EISSN: 1932-8737</identifier><identifier>DOI: 10.1002/clc.4960160215</identifier><identifier>PMID: 8435930</identifier><identifier>CODEN: CLCADC</identifier><language>eng</language><publisher>New York: Wiley Periodicals, Inc</publisher><subject>anticoagulation therapy ; aortic valve ; Aortic Valve - diagnostic imaging ; Biological and medical sciences ; Bioprosthesis ; Constriction, Pathologic - drug therapy ; Echocardiography, Doppler ; Heart Valve Diseases - diagnostic imaging ; Heart Valve Diseases - drug therapy ; Heart Valve Prosthesis ; Humans ; Male ; Medical sciences ; Middle Aged ; Prosthesis Failure ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; thrombosis ; Thrombosis - diagnostic imaging ; Thrombosis - drug therapy ; Warfarin - therapeutic use</subject><ispartof>Clinical cardiology (Mahwah, N.J.), 1993-02, Vol.16 (2), p.152-154</ispartof><rights>Copyright © 1993 Wiley Periodicals, Inc.</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3695-141009bd565f5df6f05b3fa2aa8945e98a5b8225c5eab4dac6ae4a23024d31b43</citedby><cites>FETCH-LOGICAL-c3695-141009bd565f5df6f05b3fa2aa8945e98a5b8225c5eab4dac6ae4a23024d31b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fclc.4960160215$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fclc.4960160215$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4824602$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8435930$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Juliard, Jean‐Michel</creatorcontrib><creatorcontrib>Paillole, Catherine</creatorcontrib><creatorcontrib>Dahan, Michel</creatorcontrib><creatorcontrib>Gabriel Steg, P.</creatorcontrib><creatorcontrib>Himbert, Dominique</creatorcontrib><creatorcontrib>Aumont, Marie‐Claude</creatorcontrib><title>Late thrombotic obstruction of an aortic bioprosthetic valve: Successful treatment by oral anticoagulation</title><title>Clinical cardiology (Mahwah, N.J.)</title><addtitle>Clin Cardiol</addtitle><description>Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier‐Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve.1, 4 Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to carry a high risk of embolism and recurrence.5 However, the use of this therapy was reported for the first time only recently,1 in a case of acute aortic thrombosis which occurred 3 1/2 months after bioprosthesis insertion. We report a case of late progressive thrombotic obstruction of a CE aortic valve 3 years after insertion. The case was successfully treated with Coumadin therapy, as confirmed by serial Doppler echocardiographic examinations and a 3‐year follow‐up.</description><subject>anticoagulation therapy</subject><subject>aortic valve</subject><subject>Aortic Valve - diagnostic imaging</subject><subject>Biological and medical sciences</subject><subject>Bioprosthesis</subject><subject>Constriction, Pathologic - drug therapy</subject><subject>Echocardiography, Doppler</subject><subject>Heart Valve Diseases - diagnostic imaging</subject><subject>Heart Valve Diseases - drug therapy</subject><subject>Heart Valve Prosthesis</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prosthesis Failure</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>thrombosis</subject><subject>Thrombosis - diagnostic imaging</subject><subject>Thrombosis - drug therapy</subject><subject>Warfarin - therapeutic use</subject><issn>0160-9289</issn><issn>1932-8737</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkL1PHDEQxa0IRC4kbbpILlC6Pbz-OjsdOuUD6SQKoF6NvXZY5F0T20t0_z1e3YnQpRp53m-eZx5Cn1uybgmhlzbYNdeStJLQVrxDq1Yz2qgN25yg1dJtNFX6PfqQ82PliaLsDJ0pzoRmZIUed1AcLg8pjiaWweJockmzLUOccPQYJgwxLYIZ4lOKuTy45fUM4dl9w7eztS5nPwdckoMyuqlgs8cxQaizlYzwew6w2H1Epx5Cdp-O9Rzd__h-t_3V7G5-Xm-vdo1lUoum5fUubXohhRe9l54IwzxQAKW5cFqBMIpSYYUDw3uwEhwHygjlPWsNZ-fo68G3rvtndrl045CtCwEmF-fcbYRQUkpdwfUBtPWunJzvntIwQtp3LemWcLsabvcv3Drw5eg8m9H1r_gxzapfHHXIFoJPMNkhv2JcUV6NKqYP2N8huP1_Pu22u-2bFV4AC5qUpQ</recordid><startdate>199302</startdate><enddate>199302</enddate><creator>Juliard, Jean‐Michel</creator><creator>Paillole, Catherine</creator><creator>Dahan, Michel</creator><creator>Gabriel Steg, P.</creator><creator>Himbert, Dominique</creator><creator>Aumont, Marie‐Claude</creator><general>Wiley Periodicals, Inc</general><general>Wiley</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199302</creationdate><title>Late thrombotic obstruction of an aortic bioprosthetic valve: Successful treatment by oral anticoagulation</title><author>Juliard, Jean‐Michel ; Paillole, Catherine ; Dahan, Michel ; Gabriel Steg, P. ; Himbert, Dominique ; Aumont, Marie‐Claude</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3695-141009bd565f5df6f05b3fa2aa8945e98a5b8225c5eab4dac6ae4a23024d31b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>anticoagulation therapy</topic><topic>aortic valve</topic><topic>Aortic Valve - diagnostic imaging</topic><topic>Biological and medical sciences</topic><topic>Bioprosthesis</topic><topic>Constriction, Pathologic - drug therapy</topic><topic>Echocardiography, Doppler</topic><topic>Heart Valve Diseases - diagnostic imaging</topic><topic>Heart Valve Diseases - drug therapy</topic><topic>Heart Valve Prosthesis</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prosthesis Failure</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>thrombosis</topic><topic>Thrombosis - diagnostic imaging</topic><topic>Thrombosis - drug therapy</topic><topic>Warfarin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juliard, Jean‐Michel</creatorcontrib><creatorcontrib>Paillole, Catherine</creatorcontrib><creatorcontrib>Dahan, Michel</creatorcontrib><creatorcontrib>Gabriel Steg, P.</creatorcontrib><creatorcontrib>Himbert, Dominique</creatorcontrib><creatorcontrib>Aumont, Marie‐Claude</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juliard, Jean‐Michel</au><au>Paillole, Catherine</au><au>Dahan, Michel</au><au>Gabriel Steg, P.</au><au>Himbert, Dominique</au><au>Aumont, Marie‐Claude</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late thrombotic obstruction of an aortic bioprosthetic valve: Successful treatment by oral anticoagulation</atitle><jtitle>Clinical cardiology (Mahwah, N.J.)</jtitle><addtitle>Clin Cardiol</addtitle><date>1993-02</date><risdate>1993</risdate><volume>16</volume><issue>2</issue><spage>152</spage><epage>154</epage><pages>152-154</pages><issn>0160-9289</issn><eissn>1932-8737</eissn><coden>CLCADC</coden><abstract>Thrombotic obstruction of aortic bioprostheses is rare. Few cases have been reported involving the use of the Carpentier‐Edwards (CE) prosthesis, the Hancock bioprosthesis, or the Medtronic Intact porcine valve.1, 4 Thrombolytic therapy for mechanical valve thrombosis has been used frequently even though it is known to carry a high risk of embolism and recurrence.5 However, the use of this therapy was reported for the first time only recently,1 in a case of acute aortic thrombosis which occurred 3 1/2 months after bioprosthesis insertion. We report a case of late progressive thrombotic obstruction of a CE aortic valve 3 years after insertion. The case was successfully treated with Coumadin therapy, as confirmed by serial Doppler echocardiographic examinations and a 3‐year follow‐up.</abstract><cop>New York</cop><pub>Wiley Periodicals, Inc</pub><pmid>8435930</pmid><doi>10.1002/clc.4960160215</doi><tpages>3</tpages></addata></record> |
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subjects | anticoagulation therapy aortic valve Aortic Valve - diagnostic imaging Biological and medical sciences Bioprosthesis Constriction, Pathologic - drug therapy Echocardiography, Doppler Heart Valve Diseases - diagnostic imaging Heart Valve Diseases - drug therapy Heart Valve Prosthesis Humans Male Medical sciences Middle Aged Prosthesis Failure Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart thrombosis Thrombosis - diagnostic imaging Thrombosis - drug therapy Warfarin - therapeutic use |
title | Late thrombotic obstruction of an aortic bioprosthetic valve: Successful treatment by oral anticoagulation |
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