Late thrombosis of the aortic Bjork-Shiley prosthesis. Its clinical recognition and management
Seven cases of massive thrombosis of an aortic Bjork-Shiley prosthesis were encountered among 433 valvular implants. Four patients died before treatment could be instituted, and three underwent repeat surgery successfully. Anticoagulation therapy was probably well maintained in four, and poorly main...
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| Veröffentlicht in: | Chest 1976-07, Vol.70 (1), p.12-16 |
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| container_title | Chest |
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| creator | Fernandez, J Samuel, A Yang, S S Sumathisena Gooch, A Maranhao, V Lemole, G M Goldberg, H |
| description | Seven cases of massive thrombosis of an aortic Bjork-Shiley prosthesis were encountered among 433 valvular implants. Four
patients died before treatment could be instituted, and three underwent repeat surgery successfully. Anticoagulation therapy
was probably well maintained in four, and poorly maintained in three patients. These cases illustrated the need for a high
index of suspicion and prompt recognition of this complication in patients with Bjork-Shiley prostheses. The diagnosis of
massive thrombosis should be suspected with the rapid onset of (1) signs of congestive heart failure, (2) absence or attenuation
of valvular clicks, (3) aortic regurgitation, or (4) hemolytic anemia. Salvage of these patients requires emergency replacement
of the thrombosed prosthesis or removal of the thrombus. |
| doi_str_mv | 10.1378/chest.70.1.12 |
| format | Article |
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patients died before treatment could be instituted, and three underwent repeat surgery successfully. Anticoagulation therapy
was probably well maintained in four, and poorly maintained in three patients. These cases illustrated the need for a high
index of suspicion and prompt recognition of this complication in patients with Bjork-Shiley prostheses. The diagnosis of
massive thrombosis should be suspected with the rapid onset of (1) signs of congestive heart failure, (2) absence or attenuation
of valvular clicks, (3) aortic regurgitation, or (4) hemolytic anemia. Salvage of these patients requires emergency replacement
of the thrombosed prosthesis or removal of the thrombus.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.70.1.12</identifier><identifier>PMID: 1277922</identifier><language>eng</language><publisher>United States: American College of Chest Physicians</publisher><subject>Aged ; Aortic Valve ; Aortic Valve Insufficiency - diagnosis ; Aortic Valve Insufficiency - surgery ; Female ; Heart Sounds ; Heart Valve Prosthesis - adverse effects ; Humans ; Male ; Middle Aged ; Thrombosis - diagnosis ; Thrombosis - etiology ; Thrombosis - surgery ; Time Factors</subject><ispartof>Chest, 1976-07, Vol.70 (1), p.12-16</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1277922$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernandez, J</creatorcontrib><creatorcontrib>Samuel, A</creatorcontrib><creatorcontrib>Yang, S S</creatorcontrib><creatorcontrib>Sumathisena</creatorcontrib><creatorcontrib>Gooch, A</creatorcontrib><creatorcontrib>Maranhao, V</creatorcontrib><creatorcontrib>Lemole, G M</creatorcontrib><creatorcontrib>Goldberg, H</creatorcontrib><title>Late thrombosis of the aortic Bjork-Shiley prosthesis. Its clinical recognition and management</title><title>Chest</title><addtitle>Chest</addtitle><description>Seven cases of massive thrombosis of an aortic Bjork-Shiley prosthesis were encountered among 433 valvular implants. Four
patients died before treatment could be instituted, and three underwent repeat surgery successfully. Anticoagulation therapy
was probably well maintained in four, and poorly maintained in three patients. These cases illustrated the need for a high
index of suspicion and prompt recognition of this complication in patients with Bjork-Shiley prostheses. The diagnosis of
massive thrombosis should be suspected with the rapid onset of (1) signs of congestive heart failure, (2) absence or attenuation
of valvular clicks, (3) aortic regurgitation, or (4) hemolytic anemia. Salvage of these patients requires emergency replacement
of the thrombosed prosthesis or removal of the thrombus.</description><subject>Aged</subject><subject>Aortic Valve</subject><subject>Aortic Valve Insufficiency - diagnosis</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Female</subject><subject>Heart Sounds</subject><subject>Heart Valve Prosthesis - adverse effects</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Thrombosis - diagnosis</subject><subject>Thrombosis - etiology</subject><subject>Thrombosis - surgery</subject><subject>Time Factors</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1976</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNotkD1PwzAQhi0EKqUwMiJ5YkuxfUnsjID4qFSJAViJLq7TuDhxsVOh_nss2un06n3udHoIueZszkGqO92ZOM5lSnMuTsiUV8AzKHI4JVPGuMigrMQ5uYhxw1LmVTkhEy6krISYkq8ljoaOXfB946ON1LcpGYo-jFbTh40P39l7Z53Z023wMXWJmtPFGKl2drAaHQ1G-_VgR-sHisOK9jjg2vRmGC_JWYsumqvjnJHP56ePx9ds-fayeLxfZp3I8zEDIRkUpShlxVkBlUSVK1UoLpTWpmokwxwRmBC6BIVtU4DK2wrBtByZXMGM3B7uph9_dklI3duojXM4GL-LtQIQUABL4M0R3DW9WdXbYHsM-_ooJPXZoe_suvu1wdSxR-cSDfW_6Y3fhQGdZDVPS_AHcd1ywA</recordid><startdate>197607</startdate><enddate>197607</enddate><creator>Fernandez, J</creator><creator>Samuel, A</creator><creator>Yang, S S</creator><creator>Sumathisena</creator><creator>Gooch, A</creator><creator>Maranhao, V</creator><creator>Lemole, G M</creator><creator>Goldberg, H</creator><general>American College of Chest Physicians</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>197607</creationdate><title>Late thrombosis of the aortic Bjork-Shiley prosthesis. Its clinical recognition and management</title><author>Fernandez, J ; Samuel, A ; Yang, S S ; Sumathisena ; Gooch, A ; Maranhao, V ; Lemole, G M ; Goldberg, H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h244t-32703562679105397a848858128cce9b70a4aa3022c638afb5384f9a3ef1a07d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1976</creationdate><topic>Aged</topic><topic>Aortic Valve</topic><topic>Aortic Valve Insufficiency - diagnosis</topic><topic>Aortic Valve Insufficiency - surgery</topic><topic>Female</topic><topic>Heart Sounds</topic><topic>Heart Valve Prosthesis - adverse effects</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Thrombosis - diagnosis</topic><topic>Thrombosis - etiology</topic><topic>Thrombosis - surgery</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fernandez, J</creatorcontrib><creatorcontrib>Samuel, A</creatorcontrib><creatorcontrib>Yang, S S</creatorcontrib><creatorcontrib>Sumathisena</creatorcontrib><creatorcontrib>Gooch, A</creatorcontrib><creatorcontrib>Maranhao, V</creatorcontrib><creatorcontrib>Lemole, G M</creatorcontrib><creatorcontrib>Goldberg, H</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fernandez, J</au><au>Samuel, A</au><au>Yang, S S</au><au>Sumathisena</au><au>Gooch, A</au><au>Maranhao, V</au><au>Lemole, G M</au><au>Goldberg, H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Late thrombosis of the aortic Bjork-Shiley prosthesis. Its clinical recognition and management</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1976-07</date><risdate>1976</risdate><volume>70</volume><issue>1</issue><spage>12</spage><epage>16</epage><pages>12-16</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><abstract>Seven cases of massive thrombosis of an aortic Bjork-Shiley prosthesis were encountered among 433 valvular implants. Four
patients died before treatment could be instituted, and three underwent repeat surgery successfully. Anticoagulation therapy
was probably well maintained in four, and poorly maintained in three patients. These cases illustrated the need for a high
index of suspicion and prompt recognition of this complication in patients with Bjork-Shiley prostheses. The diagnosis of
massive thrombosis should be suspected with the rapid onset of (1) signs of congestive heart failure, (2) absence or attenuation
of valvular clicks, (3) aortic regurgitation, or (4) hemolytic anemia. Salvage of these patients requires emergency replacement
of the thrombosed prosthesis or removal of the thrombus.</abstract><cop>United States</cop><pub>American College of Chest Physicians</pub><pmid>1277922</pmid><doi>10.1378/chest.70.1.12</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Chest, 1976-07, Vol.70 (1), p.12-16 |
| issn | 0012-3692 1931-3543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_83323530 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aortic Valve Aortic Valve Insufficiency - diagnosis Aortic Valve Insufficiency - surgery Female Heart Sounds Heart Valve Prosthesis - adverse effects Humans Male Middle Aged Thrombosis - diagnosis Thrombosis - etiology Thrombosis - surgery Time Factors |
| title | Late thrombosis of the aortic Bjork-Shiley prosthesis. Its clinical recognition and management |
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