Successful Thrombolysis of a Thrombosed Mechanical Aortic Valve Prosthesis Using a Slow Intravenous Tenecteplase Infusion

  • Amir Mohamed Department of Cardiac surgery, Chest Diseases hospital, Kuwait.
  • Aiman Alruwaih
  • Nael Al-Sarraf
  • Medhat Soliman
  • Mohammad Albanna
  • Fahad Al-Shammari

Abstract

Prosthetic valve thrombosis is defined as any obstruction of prosthesis by non-infective thrombotic material. It has an estimated incidence of 0.03%-4.3% per year and is reported to occur in 0.5%-8% of the left-sided prosthetic valves and in up to 20% of tricuspid prosthesis. We describe a successful treatment of a young man presented with a thrombosed prosthetic aortic valve using a slow intravenous infusion of Tenecteplase without any bolus dose in a newly described dose regimen for aortic valve position and with a complete resolution of the thrombus and regaining the full mobility of both valve leaflets within 48 hours.

Published
Feb 14, 2016
How to Cite
MOHAMED, Amir et al. Successful Thrombolysis of a Thrombosed Mechanical Aortic Valve Prosthesis Using a Slow Intravenous Tenecteplase Infusion. International Archives of Medicine, [S.l.], v. 9, feb. 2016. ISSN 1755-7682. Available at: <http://imed.pub/ojs/index.php/iam/article/view/1469>. Date accessed: 22 nov. 2017. doi: http://dx.doi.org/10.3823/1884.
Section
Cardiac Surgery & Transplantation

Keywords

thrombolysis, aortic valve, prosthetic valve thrombosis