PMID- 29457059
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 2363-9024 (Electronic)
IS  - 2363-9024 (Linking)
VI  - 3
IP  - 1
DP  - 2017
TI  - Unexpected bioprosthetic mitral valve thrombus during left ventricular assist 
      device implantation.
PG  - 15
LID - 10.1186/s40981-017-0086-5 [doi]
LID - 15
AB  - Acute bioprosthetic valve thrombosis can occur after surgery and sometimes cause 
      hemodynamic instability and cardiogenic shock. Risk factors for bioprosthetic 
      valve thrombosis are hypercoagulability, atrial fibrillation, atrial dilatation, 
      low cardiac function, and lack of anticoagulation therapy. The authors present a 
      case of severe mitral stenosis due to bioprosthetic valve thrombus. The patient 
      was diagnosed with dilated-phase hypertrophic cardiomyopathy and underwent mitral 
      valve replacement. He required venoarterial extracorporeal membrane oxygenation 
      (VA-ECMO) due to extremely low cardiac output and was scheduled for left 
      ventricular assist device (LVAD) implantation. Transesophageal echocardiographic 
      examination before LVAD implantation revealed severe mitral stenosis due to 
      bioprosthetic mitral valve thrombus, which was not detected by transthoracic 
      echocardiography in the intensive care unit and contributed to the low cardiac 
      function. The thrombus was removed through an unscheduled left atriotomy before 
      LVAD implantation. The possibility of bioprosthetic valve thrombosis must be 
      considered when the patient is dependent on VA-ECMO support. Early 
      transesophageal echocardiographic examination of the bioprosthetic valve may be 
      helpful and contribute to surgical decision-making.
FAU - Imada, Tatsuyuki
AU  - Imada T
AD  - Department of Anesthesiology and Intensive Care Medicine, Osaka University 
      Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871 Japan. ISNI: 
      0000 0004 0373 3971. GRID: grid.136593.b
FAU - Shibata, Sho Carl
AU  - Shibata SC
AD  - Department of Anesthesiology and Intensive Care Medicine, Osaka University 
      Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871 Japan. ISNI: 
      0000 0004 0373 3971. GRID: grid.136593.b
FAU - Okitsu, Kenta
AU  - Okitsu K
AD  - Department of Anesthesiology and Intensive Care Medicine, Osaka University 
      Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871 Japan. ISNI: 
      0000 0004 0373 3971. GRID: grid.136593.b
FAU - Fujino, Yuji
AU  - Fujino Y
AD  - Department of Anesthesiology and Intensive Care Medicine, Osaka University 
      Graduate School of Medicine, 2-2, Yamadaoka, Suita, Osaka, 565-0871 Japan. ISNI: 
      0000 0004 0373 3971. GRID: grid.136593.b
LA  - eng
PT  - Journal Article
DEP - 20170417
PL  - Germany
TA  - JA Clin Rep
JT  - JA clinical reports
JID - 101682121
PMC - PMC5804597
OTO - NOTNLM
OT  - Bioprosthetic valve thrombosis
OT  - Mitral stenosis
OT  - Mitral valve replacement
COIS- The authors declare that they have no competing interests.
EDAT- 2018/02/20 06:00
MHDA- 2018/02/20 06:01
PMCR- 2017/04/17
CRDT- 2018/02/20 06:00
PHST- 2017/01/12 00:00 [received]
PHST- 2017/04/08 00:00 [accepted]
PHST- 2018/02/20 06:00 [entrez]
PHST- 2018/02/20 06:00 [pubmed]
PHST- 2018/02/20 06:01 [medline]
PHST- 2017/04/17 00:00 [pmc-release]
AID - 86 [pii]
AID - 10.1186/s40981-017-0086-5 [doi]
PST - ppublish
SO  - JA Clin Rep. 2017;3(1):15. doi: 10.1186/s40981-017-0086-5. Epub 2017 Apr 17.