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Case Reports
. 2018 Sep 21;31(4):496-498.
doi: 10.1080/08998280.2018.1494495. eCollection 2018 Oct.

Management of bioprosthetic cardiac valve thrombosis

Jerry Fan  1 , Kirill Lipatov  1 , Wes Lane  2 , Timothy Mixon  2
Affiliations
Case Reports

Management of bioprosthetic cardiac valve thrombosis

Jerry Fan et al. Proc (Bayl Univ Med Cent). .

Abstract

Valvular thrombosis is a known complication of bioprosthetic valve replacement that usually occurs within a year of implantation. Four-dimensional computed tomography is quickly becoming the gold standard to directly visualize thrombus. Current guidelines for prophylaxis include aspirin for all bioprosthetic valve replacements, dual antiplatelet therapy for aortic valves, and anticoagulation for mitral valves. However, new trials have suggested single-agent antiplatelet therapy or anticoagulation for treatment of bioprosthetic valve thrombosis. Three cases are presented that illustrate the use of anticoagulants and new techniques for detecting thrombosis on imaging.

Keywords: Anticoagulation; bioprosthetic valve replacement; thrombosis.

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References

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