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Unusual presentation of mitral prosthetic heart valve thrombosis managed with low dose tenecteplase infusion

Published online by Cambridge University Press:  04 March 2021

A. Shaheer Ahmed*
Affiliation:
Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
Shivank Gupta
Affiliation:
Department of Cardiology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
*
Author for correspondence: Dr. A. Shaheer Ahmed MD, DM, DNB, Assistant Professor, Department of Cardiology, 7th Floor, Super Speciality Block, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India. Phone: +919968889874. E-mail: ahmedshaheer53@gmail.com

Abstract

A 11-year-old with history of mitral valve replacement presented with low-grade fever, breathlessness and multiple episodes of haemoptysis for 2 days. Detailed echocardiographic evaluation revealed possible prosthetic valve thrombosis, which was confirmed by fluoroscopy. She was thrombolysed with low dose infusion of tenecteplase. Post thrombolysis her symptoms improved, valve mobility was restored, and haemoptysis subsided. Left sided prosthetic valve thrombosis presenting predominantly with haemoptysis is very rare.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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Unusual presentation of mitral prosthetic heart valve thrombosis managed with low dose tenecteplase infusion
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