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

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


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

Topics: Transcatheter aortic valve replacement, Valve thrombosis, ECMO, Surgery, RD1-811, Anesthesiology, RD78.3-87.3
Publisher: BMC
Year: 2018
DOI identifier: 10.1186/s13019-018-0816-4
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