Late thrombosis of a Transcatheter aortic valve: the border between a proactive and reactive management
- Resource Type
- article
- Authors
- Marco Gennari; Gianluca Polvani; Mauro Pepi; Francesco Arlati; Andrea Annoni; Marco Agrifoglio
- Source
- Journal of Cardiothoracic Surgery, Vol 13, Iss 1, Pp 1-4 (2018)
- Subject
- Transcatheter aortic valve replacement
Valve thrombosis
ECMO
Surgery
RD1-811
Anesthesiology
RD78.3-87.3
- Language
- English
- ISSN
- 1749-8090
20902948
Abstract Background Valve thrombosis – either biological or mechanical – is proved to increase patient’s morbidity and mortality. No consensus exist on the best management in such cases. Case presentation We report the case of a 69-year-old man presenting with a late thrombosis of a transcatheter aortic valve who was medically managed until he acutely worsened, developing myocardial ischemia and cardiogenic shock. Conclusion This unlucky case raises a word of caution about the safety of a reactive management.