Acta Med. 2008, 51: 59-62

https://doi.org/10.14712/18059694.2017.33

Thrombolytic Treatment of Thrombosis on the Aortic Valvular Prosthesis Complicated by Brain Embolism

Lucie Horákováa, Radek Pudila, Jan Raupachb, Jan Vojáčeka

aCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, 1st Department of Medicine, Hradec Králové, Czech Republic
bCharles University in Prague, Faculty of Medicine and University Hospital Hradec Králové, Department of Radiology, Hradec Králové, Czech Republic

Received November 1, 2007
Accepted December 1, 2007

The authors present a case of thrombosis on the St. Jude Medical 19 aortic valve prosthesis. The diagnosis was confirmed by transthoracic and transoesofageal echocardiography, cardiac fluoroscopy revealed restricted movement of the aortic valve prosthesis leaflet. Thrombolytic therapy was complicated with brain embolism that was successfully percutaneously removed from the cerebral artery by the mechanical device. The patient has fully recovered without any neurological residual symptoms. This case report should be instructive to other clinicians who encounter the same complications after thrombolytic treatment.

References

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