Prosthetvalvethrom

Heart 2007; 93 :137-142; doi:10.1136/hrt.2005.071183 EDUCATION IN HEART Valve disease Thrombosis of prosthetic heart valves: diagnosis and therapeutic considerations Raymond Roudaut , Karim Serri , Stephane Lafitte Hôpital Cardiologique du Haut-Lévêque, Centre hospitalier et universitaire de Bordeaux, Université Victor Segalen, Bordeaux, France Correspondence to: Professor Raymond Roudaut Service des Echocardiographies, Hôpital Cardiologique Haut-Leveque, Avenue Magellan, Pessac 33604, France; [email_address] 06/05/09

Mechanical valve thrombosis ,[object Object],[object Object],[object Object],06/05/09

Mechanical valve thrombosis ,[object Object],[object Object],06/05/09

Bioprosthetic valve thrombosis ,[object Object],[object Object],[object Object],06/05/09

Predisposing factors ,[object Object],[object Object],[object Object],[object Object],[object Object],06/05/09

Pathology ,[object Object],[object Object],[object Object],06/05/09

Pathology ,[object Object],[object Object],06/05/09

Clinical presentation ,[object Object],[object Object],[object Object],06/05/09

[object Object],[object Object],[object Object],06/05/09

Copyright ©2007 BMJ Publishing Group Ltd. Roudaut, R. et al. Heart 2007;93:137-142 Figure 2 Transthoracic echocardiography in a patient with a thrombosed bileaflet mitral valve; mean gradient was 30 mm Hg.

Copyright ©2007 BMJ Publishing Group Ltd. Roudaut, R. et al. Heart 2007;93:137-142 Figure 3 Transoesophageal echocardiography in the same patient shown in fig 2. (A) Stuck leaflet, (B) small thrombus, and (C) central mitral regurgitation.

Echocardiographic signs of obstructive prosthetic valve thrombosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],06/05/09

Direct signs of PVT ,[object Object],[object Object],[object Object],06/05/09

Echocardiographic signs of obstructive prosthetic valve thrombosis ,[object Object],06/05/09

TOE has some limitations: ,[object Object],[object Object],[object Object],06/05/09

TOE has some limitations: ,[object Object],06/05/09

role of TOE in guiding therapeutic strategy. ,[object Object],[object Object],[object Object],06/05/09

Other techniques ,[object Object],[object Object],[object Object],06/05/09

TREATMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],06/05/09

Obstructive PVT ,[object Object],[object Object],[object Object],06/05/09

Right-sided obstructive PVT ,[object Object],[object Object],[object Object],06/05/09

Mortality ,[object Object],[object Object],[object Object],06/05/09

Take Home message ,[object Object],[object Object],06/05/09

Treatment of left-sided PVT ,[object Object],[object Object],[object Object],[object Object],06/05/09

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