• Am J Emerg Med · Nov 2021

    Case Reports

    Systemic thrombolysis in a patient with massive acute valvular thrombosis.

    • Steaven Juárez-Najarro, Fabio Solis-Jimenez, Luis Antonio Jimenez-Ruan, Octavio Salazar-Delgado, and Diego Araiza-Garaygordobil.
    • Coronary Intensive Care Unit, Instituto Nacional de Cardiología Ignacio Chávez, México City, Mexico.
    • Am J Emerg Med. 2021 Nov 1; 49: 439.e1-439.e2.

    AbstractProsthetic valve thrombosis (PVT) is considered an exceptionally rare condition, often associated with pro-thrombotic factors or suboptimal anticoagulant therapy. Guidelines recommend emergent surgery for patients with left heart valve prosthetic thrombosis who present in cardiogenic shock, and systemic thrombolysis is reserved in scenarios where surgery is not immediately available. However, several factors may affect surgical prognosis and are overlooked by current recommendations. We describe the case of a 34-year-old female who presented in the emergency department with cardiogenic shock and acute pulmonary edema due to acute valve thrombosis.Copyright © 2021 Elsevier Inc. All rights reserved.

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