Thrombotic obstruction of bileaflet valves: surgical management and fiberoptic thrombectomy.

al-Halees, Z; Kumar, N · Ann Thorac Surg · 1994

case_series · Level IV

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Abstract

Three patients underwent emergency operation for thrombotic obstruction of a bileaflet mechanical prosthesis (two St. Jude and one Duromedics) in the mitral position. The three valves were successfully thromboectomized with return to normal function. In 2 patients removal of the thrombus at the valve hinges was assisted by the use of a flexible fiberoptic choledochoscope. All 3 patients remain well 2 years after the procedure, maintained on a regimen of warfarin and dipyridamole.

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