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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2018

Open Access 01-12-2018 | Case report

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

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

Published in: Journal of Cardiothoracic Surgery | Issue 1/2018

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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.
Literature
1.
Cota L, Stabile E, Agrusta M, Sorropago G, Pucciarelli A, et al. Bioprostheses "thrombosis" after transcatheter aortic valve replacement. J Am Coll Cardiol. 2013;61(7):789–91.CrossRef
2.
Chakravarty T, Søndergaard L, Friedman J, De Backer O, Berman D, et al. Subclinical leaflet thrombosis in surgical and transcatheter bioprosthetic aortic valves: an observational study. Lancet. 2017;S0140–6736(17):30757–2.
3.
Tessari C, D'Onofrio A, Guglielmi C, Gerosa G. Sapien XT implantation under direct vision as a bail-out procedure in case of hostile aortic root: a reasonable alternative for stentless bioprosthesis reoperation. J Thorac Cardiovasc Surg. 2013;145(3):e36–8.CrossRef
4.
Akins CW, Miller DC, Turina MI, Kouchoukos NT, Blackstone EH, et al. Guidelines for reporting mortality and morbidity after cardiac valve interventions. J Thorac Cardiovasc Surg. 2008;135(4):732–8.CrossRef
Metadata
Title
Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management
Authors
Marco Gennari
Gianluca Polvani
Mauro Pepi
Francesco Arlati
Andrea Annoni
Marco Agrifoglio
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2018
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/s13019-018-0816-4

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