Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 9, Number 3, June 2018, pages 161-164

Thrombolysis Is an Effective and Safe Therapy in Stuck Mitral Valves With Delayed Presentation as Well as Hemodynamically Unstable Patients: A Single Centre Study

Figures

Figure 1.
Figure 1. TTE image before thrombolysis shows mean gradient of 21.7 mm Hg across stuck prosthetic mitral valve.
Figure 2.
Figure 2. TTE image at 24 h of thrombolysis shows significant fall in mean gradient to 6.44 mm Hg.

Tables

Table 1. Patients’ Characteristics
 
Patients characteristicsResult
Number of patients34
Age
  Less than 40 years24 (70.6%)
  More than 40 years10 (29.4%)
Gender
  Male10 (29.4%)
  Female24 (70.6%)
Symptoms duration
  Less than 14 days27 (79.4%)
  More than 14 days7 (20.6%)
Initial functional class
  I - II12 (38.3%)
  III - IV22 (64.7%)
Hemodynamically
  Stable25 (73.5%)
  Unstable09 (26.5%

 

Table 2. Overall Results of Thrombolysis in 34 Patients With Stuck Mitral Valves
 
ParametersResults
Clinical success rate31 (91.2%)
Re-operation required2 (5.9%)
Mortality1 (2.9%)
Complications
  Large subcutaneous hematoma1 (2.9%)
  Neurological deficit (TIA)1 (2.9%)
  Allergic reaction1 (2.9%)