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We appreciate the interest shown by M Biteker, O Başaran, NF Başaran, and FS Biteker in our article entitled ‘‘Prosthetic mitral valve thrombosis in pregnancy: from thrombolysis to anticoagulation’’. The comments in their letter to the Editor are in line with our discussion of this case and with our brief review of prosthetic valve thrombosis (PVT), from prevention (with anticoagulant therapy) to treatment by fibrinolysis.

revista portuguesa de cardiologia

Resposta ao comentário, sob a forma de Carta ao Editor, intitulado de «Baixas doses de activador de plasminogéneo tecidular intravenoso são preferíveis às doses estandardizadas para trombose de prótese valvular»