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Case Reports
. 2015 Apr 1:10:50.
doi: 10.1186/s13019-015-0254-5.

Effectiveness of anticoagulant therapy in the treatment of post-TAVI bioprosthetic thrombosis

Affiliations
Case Reports

Effectiveness of anticoagulant therapy in the treatment of post-TAVI bioprosthetic thrombosis

Jérémy Descoux et al. J Cardiothorac Surg. .

Abstract

Bioprosthetic thromboses are rarely reported in post-transcatheter aortic valve implantation (TAVI). We describe herein the case of bioprosthetic valve thrombosis in an 82-year-old patient which resolved completely after anticoagulant therapy.

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Figures

Figure 1
Figure 1
Transesophageal echocardiogram (TEE) of the aortic bioprosthesis in diastole (A) and in systole (B), with transvalvular continuous-wave Doppler (C) revealing a mean gradient (MG) of 64 mmHg and a Vmax of 5 m/s. Same TEE sections and continuous-wave Doppler (A’, B’ and C’) after 1 month of anticoagulant therapy: MG = 15 mmHg and Vmax = 2.7 m/s with unchanged heart rate and ejection fraction.

References

    1. Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC), European Association for Cardio-Thoracic Surgery (EACTS) Vahanian A, Alfieri O, Andreotti F, Antunes MJ, et al. Guidelines on the management of valvular heart disease (version 2012) Eur Heart J. 2012;33:2451–96. doi: 10.1093/eurheartj/ehs109. - DOI - PubMed
    1. Vahanian A, Alfieri O, Al-Attar N, Antunes M, Bax J, Cormier B, et al. Transcatheter valve implantation for patients with aortic stenosis: a position statement from the European Association of Cardio-Thoracic Surgery (EACTS) and the European Society of Cardiology (ESC), in collaboration with the European Association of Percutaneous Cardiovascular Interventions (EAPCI) Eur Heart J. 2008;29:1463–70. doi: 10.1093/eurheartj/ehn183. - DOI - PubMed
    1. Hemmann K, Sirotina M, De Rosa S, Ehrlich JR, Fox H, Weber J, et al. The STS score is the strongest predictor of long-term survival following transcatheter aortic valve implantation, whereas access route (transapical versus transfemoral) has no predictive value beyond the periprocedural phase. Interact Cardiovasc Thorac Surg. 2013;17:359–64. doi: 10.1093/icvts/ivt132. - DOI - PMC - PubMed
    1. Shahian DM, He X, Jacobs JP, Rankin JS, Welke KF, Filardo G, et al. The Society of Thoracic Surgeons Isolated Aortic Valve Replacement (AVR) Composite Score: a report of the STS Quality Measurement Task Force. Ann Thorac Surg. 2012;94:2166–71. doi: 10.1016/j.athoracsur.2012.08.120. - DOI - PubMed
    1. Holmes DR, Jr, Mack MJ, Kaul S, Agnihotri A, Alexander KP, Bailey SR, et al. 2012 ACCF/AATS/SCAI/STS expert consensus document on transcatheter aortic valve replacement: developed in collabration with the American Heart Association, American Society of Echocardiography, European Association for Cardio-Thoracic Surgery, Heart Failure Society of America, Mended Hearts, Society of Cardiovascular Anesthesiologists, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance. J Thorac Cardiovasc Surg. 2012;144:e29–84. doi: 10.1016/j.jtcvs.2012.03.001. - DOI - PubMed

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