Thrombolytic therapy after cardiac arrest in patients with mechanical aortic valve thrombosis
© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved..
A 68-year-old woman with history of aortic valve replacement developed severe heart failure and cardiac arrest. Transesophageal echocardiography and cardiac computed tomography showed mechanical aortic valve thrombosis. Low-dose, ultraslow infusion of tissue-plasminogen activator was performed while the patient was in a critically ill condition, resulting in the improvement of thrombus burden and structural valve deterioration.
Learning objectives: Mechanical valve thrombosis can be an underlying mechanism of severe heart failure, in which systemic thrombolytic therapy in a low-dose, ultraslow, and prolonged manner may improve clinical outcomes, even in critically ill patients.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:29 |
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| Enthalten in: |
Journal of cardiology cases - 29(2024), 3 vom: 29. März, Seite 112-115 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Asada, Kazunari [VerfasserIn] |
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| Links: |
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| Themen: |
Case Reports |
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| Anmerkungen: |
Date Revised 15.03.2024 published: Electronic-eCollection Citation Status PubMed-not-MEDLINE |
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| doi: |
10.1016/j.jccase.2023.11.007 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM369713443 |
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| 520 | |a © 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved. | ||
| 520 | |a A 68-year-old woman with history of aortic valve replacement developed severe heart failure and cardiac arrest. Transesophageal echocardiography and cardiac computed tomography showed mechanical aortic valve thrombosis. Low-dose, ultraslow infusion of tissue-plasminogen activator was performed while the patient was in a critically ill condition, resulting in the improvement of thrombus burden and structural valve deterioration | ||
| 520 | |a Learning objectives: Mechanical valve thrombosis can be an underlying mechanism of severe heart failure, in which systemic thrombolytic therapy in a low-dose, ultraslow, and prolonged manner may improve clinical outcomes, even in critically ill patients | ||
| 650 | 4 | |a Case Reports | |
| 650 | 4 | |a Mechanical heart valve | |
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| 700 | 1 | |a Kobayashi, Yoshio |e verfasserin |4 aut | |
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