Valve-in-ring Mitral. Postoperative Valve Thrombosis. How To Manage?
Gry Dahle, Thomas Helle-Valle, Jan Otto Beitnes, Kjell Arne Rein.
Rikshospitalet, OUS, Oslo, Norway.
METHODS: A female of 64 years had a valve-in-ring procedure due to failing annuloplasty. Initially good result. She was in atrial fibrillation and on NOAC before procedure, after we switched to Coumadin. After three months she was back on NOAC and in the following three weeks she developed increasing dyspnoea. Evaluation with CT scan and Echo (3D) revealed Valve thrombosis.Treatment with actilysis was initiated with no improvement. A transapical redo procedure was done with a second catheter valve implantedVideo from procedure available
RESULTS: The procedure was successful and the gradient reduced from 12mmHg to 4 mmHg. Uneventful postoperative and clinical improvement
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