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Transcatheter mechanical manipulation of obstructed prosthetic mitral valve in an infant

Published online by Cambridge University Press:  03 September 2020

Yousef Arar Open the ORCID record for Yousef Arar [Opens in a new window] ,
Jeff Hong Open the ORCID record for Jeff Hong [Opens in a new window]  and
Surendranath Veeram Reddy Open the ORCID record for Surendranath Veeram Reddy [Opens in a new window]
Yousef Arar
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Texas Southwestern Medical Center, Dallas, TX75390
Jeff Hong
Affiliation:
Department of Pediatrics, Residency Training Program, University of Texas Southwestern Medical Center, Dallas, TX75390
Surendranath Veeram Reddy*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, University of Texas Southwestern Medical Center, Dallas, TX75390
*
Author for correspondence: Surendranath Veeram Reddy, University of Texas Southwestern Medical Center, Department of Pediatric Cardiology, 5323 Harry Hines Blvd, Dallas, TX, USA75390. Tel: +214-456-2559; Fax: +214-456-6154. E-mail: Suren.Reddy@UTSouthwestern.edu
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Abstract

Prosthetic valve thrombosis is a serious complication of prosthetic heart valves that typically requires either surgical intervention or systemic thrombolysis. In patients with contraindications to both treatment modalities, options can be limited. We describe an alternative approach to managing prosthetic valve thrombosis in an infant presenting in extremis with pulmonary haemorrhage. Using transoesophageal echocardiography and fluoroscopic guidance, we restored function to the infant’s obstructed St. Jude prosthetic mitral valve through percutaneous transcatheter manipulation of the valve’s leaflets.

Keywords

Catheterisationheart valve prosthesisprosthetic valve thrombosis
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 11 , November 2020 , pp. 1747 - 1749
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Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Dangas, GD, Weitz, JI, Giustino, G, Makkar, R, Mehran, R. Prosthetic heart valve thrombosis. J Am Coll Cardiol 2016; 68:2670-89.CrossRefGoogle ScholarPubMed
Lin, SS, Tiong, IY, Asher, CR, Murphy, MT, Thomas, JD, Griffin, BP. Prediction of thrombus-related mechanical prosthetic valve dysfunction using transesophageal echocardiography. Am J Cardiol 2000; 86:1097-101.CrossRefGoogle ScholarPubMed
Das, M, Twomey, D, Khaddour, AA, Dunning, J. Is thrombolysis or surgery the best option for acute prosthetic valve thrombosis? Interact CardioVasc Thorac Surg 2007; 6:806-11.CrossRefGoogle ScholarPubMed
Hariram, V. Percutaneous management of prosthetic valve thrombosis. Indian Heart J 2014; 66:427-9.CrossRefGoogle ScholarPubMed
Nishimura, RA, Otto, CM, Bonow, RO, et al. 2017 AHA/ACC focused update of the 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2017; 70:252-89.CrossRefGoogle Scholar
Streif, W, Andrew, M, Marzinotto, V, et al. Analysis of Warfarin therapy in pediatric patients: a prospective cohort study of 319 patients. Blood 1999; 94:3007-14.CrossRefGoogle ScholarPubMed

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