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Información de la revista
Vol. 18. Núm. 5.
Páginas 293-296 (Agosto - Octubre 2011)
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Vol. 18. Núm. 5.
Páginas 293-296 (Agosto - Octubre 2011)
DOI: 10.1016/S0120-5633(11)70202-9
Open Access
Trombosis de válvulas cardiacas biológicas. Presentación de dos casos evaluados con ecocardiografía 3D en tiempo real
Thrombosis of biological valves. Report of two cases evaluated by 3D echocardiography in real time
Visitas
...
Jairo A. Rendón1, Néstor R. Duarte1,2,
Autor para correspondencia
nrduartesuarez@gmail.com

Correspondencia: Clínica Medellín Sede Centro. Calle 53 No. 36-38, Medellín, Colombia. Teléfono: (57-4) 3 56 85 85.
1 Universidad CES, Medellín, Colombia
2 Clínica Medellín Centro, Medellín, Colombia
Información del artículo

La trombosis de las válvulas protésicas biológicas es una complicación infrecuente, que se asocia con mortalidad elevada. En este artículo se reporta el caso de un paciente de género masculino, de 72 años de edad, con prótesis valvular biológica en posición aórtica y trombosis asociada a degeneración valvular, así como el de una paciente de género femenino de 64 años de edad, con prótesis biológica en posición mitral y trombosis de la misma en el contexto de una infección sistémica. Ambos casos se evaluaron mediante ecocardiografía transesofágica tridimensional en tiempo real.

Palabras clave:
ecocardiografía transesofágica
trombosis
prótesis valvulares cardíacas

Thrombosis of biological prosthetic valves is a rare complication, associated with high mortality. We report the case of a 72 years old male patient with biological valve prosthesis in the aortic position and thrombosis associated with valvular degeneration, as well as that of a 64 years old female patient with bioprosthesis in the mitral position and thrombosis of it in the context of a systemic infection. Both cases were evaluated by three-dimensional transesophageal echocardiography in real time.

Key words:
transesophageal echocardiography
thrombosis
prosthetic heart valves
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Bibliografía
[1.]
F.C. Riess, R. Bader, E. Cramer, L. Hansen, B. Kleijnen, G. Wahl, et al.
Hemodynamic performance of the Medtronic Mosaic porcine bioprosthesis up to ten years.
Ann Thorac Surg, 83 (2007), pp. 1310-1318
[2.]
K. Hammermeister, G.K. Sethi, W.G. Henderson, F.L. Grover, C. Oprian, S.H. Rahimtoola.
Outcomes 15 years after valve replacement with a mechanical versus a bioprosthetic valve: final report of the Veterans Affairs randomized trial.
J Am Coll Cardiol, 36 (2000), pp. 1152-1158
[3.]
M. Heras, J.H. Chesebro, V. Fuster, W.J. Penny, D.E. Grill, K.R. Bailey, et al.
High risk of thromboembolism early after bioprosthetic cardiac valve replacement.
J Am Coll Cardiol, 25 (1995), pp. 1111-1119
[4.]
F. Kerendi, V.H. Thourani, J.D. Puskas, P.D. Kilgo, M. Osgood, R.A. Guyton, et al.
Impact of heparin induced thrombocytopenia on postoperative outcomes after cardiac surgery.
Ann Thorac Surg, 84 (2007), pp. 1548-1555
[5.]
R. Bouallal, D. Montaigne, G. Fayad, J. Auffray, P. Asseman, P. Ennezat.
Late bioprosthetic mitral valve thrombosis: a linkwith postoperative heparin-induced thrombocytopenia?.
J Am Soc Echocardiogr, 22 (2009), pp. 1310
[6.]
A. Vahanian, H. Baumgarter, J. Bax, E. Butchart, R. Dion, G. Filippatos, et al.
Guidelines on the management of valvular heart disease: the Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology.
Eur Heart J, 28 (2007), pp. 230-268
[7.]
N. Shapira, O. Merin, E. Rosenmann, I. Dzigivker, D. Bitran, A.M. Yinnon, et al.
Latent infective endocarditis: epidemiology and clinical characteristics of patients with unsuspected endocarditis detected after elective valve replacement.
Ann Thorac Surg, 78 (2004), pp. 1623-1629
[8.]
A. Renzulli, L. De Luca, A. Caruso, R. Verde, D. Galzerano, M. Cotrufo.
Acute thrombosis of prosthetic valves: a multivariate analysis of the risk factors for a life threatening.
Eur J Cardio-Thorac Surg, 6 (1992), pp. 412-4211
[9.]
J. Barbetseas, S.F. Nagueh, C. Pitsavos, P.K. Toutouzas, M.A. Quiñones, W.A. Zoghbi.
Differentiating thrombus from pannus formation in obstructed mechanical prosthetic valves: an evaluation of clinical, transthoracic and transesophageal echocardiographic parameters.
J Am Coll Cardiol, 32 (1998), pp. 1410-1417
[10.]
M.X. Xie, X.F. Wang, T.O. Cheng, Q. Lu, L. Yuan, X. Liu.
Real-time 3-dimensional echocardiography: a review of the development of the technology and its clinical application.
Prog Cardiovasc Dis, 48 (2005), pp. 209-225
[11.]
L. Sugeng, S. Shernan, L. Weinert, D. Shook, J. Raman, V. Jeevanandam, et al.
Realtime three-dimensional transesophageal echocardiography in valve disease: comparison with surgical findings and evaluation of prosthetic valves.
Am Soc Echocardiogr, 21 (2008), pp. 1347-2135
[12.]
M. Ozkan, S. Gündüz, M. Yildiz, N.E. Duran.
Diagnosis of the prosthetic heart valve pannus formation with real-time three-dimensional transoesophageal echocardiography.
Eur J Echocardiogr, 11 (2010), pp. E17
[13.]
A. Moreo, E. Lobiati, B. De Chiara, F. Mauri.
Assessment of mitral prosthetic valve thrombosis by live three-dimensional echocardiography: comparison with transesophageal echocardiography.
Heart Vessels, 22 (2007), pp. 287-289
[14.]
B. Paul, A. Minocha.
Thrombosis of a bileaflet prosthetic mitral valve: a real-time threedimensional transesophageal echocardiography perspective.
Int J Cardiovasc Imaging, 26 (2010), pp. 367-368
[15.]
R.O. Bonow, B.A. Carabello, K. Chatterjee, A.C. de León Jr., D.P. Faxon, M.D. Freed, et al.
ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.
J Am Coll Cardiol, 48 (2006), pp. e1-e148
[16.]
M. Lengyel, L. Vandor.
The role of thrombolysis in the management of left-sided prosthetic valve thrombosis: a study of 85 cases diagnosed by transesophageal echocardiography.
J Heart Valve Dis, 10 (2001), pp. 636-649
[17.]
D. Hering, C. Piper, D. Horstkotte.
Management of prosthetic cardiac valve thrombosis.
Eur Heart J, 3 (2001), pp. Q22-Q26
[18.]
M. Lengyel.
Thrombolysis should be regarded as first-line therapy for prosthetic valve thrombosis in the absence of contraindications.
J Am Coll Cardiol, 45 (2005), pp. 325
[19.]
J.S. Alpert.
The thrombosed prosthetic valve: current recommendations based on evidence from the literature.
J Am Coll Cardiol, 41 (2003), pp. 659-660
[20.]
R. Roudaut, K. Serri, S. Lafitte.
Thrombosis of prosthetic heart valves: diagnosis and therapeutic considerations.
Heart, 93 (2007), pp. 137-142
[21.]
G. Laplace, S. Lafitte, J.N. Labe‘que, J.M. Perron, E. Baudet, C. Deville, et al.
Clinical significance of early thrombosis after prosthetic mitral valve replacement. A postoperative monocentric study of 680 patients.
J Am Coll Cardiol, 43 (2004), pp. 1283-1290
Copyright © 2011. Sociedad Colombiana de Cardiología y Cirugía Cardiovascular
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