Open AccessDiagnosis by Intraoperative Transesophageal Echocardiography of Acute Thrombosis of Mechanical Aortic Valve Prosthesis Associated with the Use of Biological Glue
Author(s) -
Michael Gillham,
Claude Tousignant
Publication year - 2001
Publication title -
anesthesia and analgesia/anesthesia and analgesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.404
H-Index - 201
eISSN - 1526-7598
pISSN - 0003-2999
DOI - 10.1097/00000539-200105000-00008
Subject(s) - medicine , cardiopulmonary bypass , complication , prosthesis , thrombosis , surgery , aortic valve , mechanical valve , aortic valve replacement , cardiology , stenosis
Mechanical aortic valve thrombosis is an uncommon complication of valve replacement. Inadequate anticoagulation is observed in 45% of patients presenting with this complication and it occurs as close as 15 days postoperation (1). Failure to wean from cardiopulmonary bypass (CPB) after aortic valve replacement may be because of a multitude of pathologies. We present a case where easy access to transesophageal echocardiography (TEE) allowed a rapid diagnosis of acute mechanical aortic valve occlusion with subsequent successful surgical management.