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Current Cardiology Reports

Evaluation and Management of Mechanical Heart Valve Dysfunction and Thrombosis

  • 24-05-2024
  • Thrombosis
  • Valvular Heart Disease (TL Kiefer, Section Editor)
Published in:
Authors
Gary Parizher
Ambreen Ali
Paul C. Cremer
Published in
Current Cardiology Reports | Issue 7/2024

Abstract

Purpose of Review

Dysfunction and thrombosis of mechanical heart valves, although uncommon, represents a challenge that requires multidisciplinary expertise for diagnosis and management. The aim of this review is to summarize strengths and weaknesses of diagnostic methods and therapeutic strategies for this uncommon but potentially life-threatening pathology.

Recent Findings

Expeditious diagnosis of mechanical valve thrombosis and exclusion of other diagnostic considerations, often with incorporation of multimodality imaging, can inform the best treatment strategy.

Summary

Presentation of mechanical valve thrombosis can be asymptomatic or can include heart failure, life-threatening embolic events, or cardiogenic shock. Echocardiography, fluoroscopy and computed tomography are important in the evaluation of mechanical valve dysfunction. Therapeutic strategies for thrombosis include anticoagulation, systemic thrombolysis, and surgery. Choice of treatment depends on multiple factors including thrombus size, degree of valve dysfunction, clinical presentation, and available surgical expertise.
Title
Evaluation and Management of Mechanical Heart Valve Dysfunction and Thrombosis
Authors
Gary Parizher
Ambreen Ali
Paul C. Cremer
Publication date
24-05-2024
Publisher
Springer US
Published in
Current Cardiology Reports / Issue 7/2024
Print ISSN: 1523-3782
Electronic ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-024-02074-x
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This content is intended for healthcare professionals outside of the UK.

Independent Medical Education Grant:
  • Bayer HealthCare Pharmaceuticals Inc.
Learn more Link opens in a new window
Image Credits
Abstract graphic of layered, concentric circular shapes in bright green, pink, blue, and purple on a dark blue background. The rings and segments form a complex radial pattern without text/© Springer Health+ IME