Late thrombosis of a Transcatheter aortic valve: The border between a proactive and reactive management

Marco Gennari; Gianluca Polvani; Mauro Pepi; Francesco Arlati; Andrea Annoni; Marco Agrifoglio

doi:10.1186/s13019-018-0816-4

Late thrombosis of a Transcatheter aortic valve: The border between a proactive and reactive management

Marco Gennari, Gianluca Polvani, Mauro Pepi, Francesco Arlati, Andrea Annoni, Marco Agrifoglio

Centro Cardiologico Monzino

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. Case presentation: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. Conclusion: This unlucky case raises a word of caution about the safety of a reactive management.

Original language	English
Article number	126
Journal	Journal of Cardiothoracic Surgery
Volume	13
Issue number	1
DOIs	https://doi.org/10.1186/s13019-018-0816-4
Publication status	Published - Dec 17 2018

Keywords

ECMO
Transcatheter aortic valve replacement
Valve thrombosis

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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10.1186/s13019-018-0816-4

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AU - Gennari, Marco

AU - Polvani, Gianluca

AU - Pepi, Mauro

AU - Arlati, Francesco

AU - Annoni, Andrea

AU - Agrifoglio, Marco

PY - 2018/12/17

Y1 - 2018/12/17

N2 - Background: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. Case presentation: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. Conclusion: This unlucky case raises a word of caution about the safety of a reactive management.

AB - Background: Valve thrombosis - either biological or mechanical - is proved to increase patient's morbidity and mortality. No consensus exist on the best management in such cases. Case presentation: We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. Conclusion: This unlucky case raises a word of caution about the safety of a reactive management.

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KW - Transcatheter aortic valve replacement

KW - Valve thrombosis

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Late thrombosis of a Transcatheter aortic valve: The border between a proactive and reactive management

Abstract

Keywords

ASJC Scopus subject areas

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