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KMID : 0364019940270100858
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Korean Journal of Thoracic and Cardiovascular Surgery
1994 Volume.27 No. 10 p.858 ~ p.861
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Thrombolytic Therapy for Prosthetic Mitral Valve Thrombosis of Pregnant Patient -A Case Report-
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Abstract
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Prosthetic valve thrombosis is rare but it is one of fatal complication after heart valve surgery. Improvements of the valve design and the material have decreased the frequency of thrombosis but have not eliminated completely. And some cases of
prosthetic valve thrombosis during pregnancy were reported inspite of adequate anticoagulation therapy.
Urgent surgical intervention is indicated for prosthetic valve thrombosis but it is associated with high operative risk, therefore medical thrombolytic therapy such as urokinase or streptokinase therapy is regarded as an alternative therapy.
This is a case report of the successful thrombolytic therapy for valve thrombosis in a pregnant patient after mechanical mitral valve replacement. (Korean J Thoracic Cardiovas Surg 1994; 27:858-61)
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