- 期刊
Transesophageal Echocardiography in the Detection of Prosthetic Mitral Valve Thrombosis Caused by Inadequate Anticoagulation
並列摘要
Intracranial hemorrhage resulting from oral anticoagulation in patients with prosthetic heart valves is rare. If it occurs, however, the anticoagulation treatment should be immediately reversed. The difficulty is to decide when to resume treatment. Without anticoagulation, the patient is at high risk of valve thrombosis and systemic embolization. We report a patient with a prosthetic mitral valve who developed intracranial hemorrhage as a complication of anticoagulation. Reinstitution of warfarin was delayed, and she developed severe valvular thrombosis with pulmonary edema. This was promptly diagnosed using bedside transesophageal echocardiography, and surgery was successfully carried out. Warfarin was restarted 4 days after surgery without further sequelae.
延伸閱讀
- Liau, C. S. (2008). The Use and Limitation of Echocardiography for the Diagnosis of Mitral Regurgitation. Journal of Medical Ultrasound, 16(3), 239-239. https://www.airitilibrary.com/Article/Detail?DocID=09296441-200809-16-3-239-239-a
- Marinangeli, F., Ciccozzi, A., Angeletti, C., Guetti, C., Aloisio, T., Paladini, A., & Varrassi, G. (2011). Hemodynamic Changes during Hepatic Vascular Exclusion: Use of Intraoperative Transesophageal Echocardiography a Case Series. ISRN Anesthesiology, (), 94-99. https://www.airitilibrary.com/Article/Detail?DocID=20905548-201112-201202230024-201202230024-96-101
- Wang, B., Wang, Z., He, B., Fu, G., Feng, M., Liu, J., Yu, Y., Du, X., & Chu, H. (2021). Percutaneous Left Atrial Appendage Closure Confirmed by Intra-Procedural Transesophageal Echocardiography under Local Anesthesia: Safety and Clinical Efficacy. Acta Cardiologica Sinica, 37(2), 146-154. https://doi.org/10.6515/ACS.202103_37(2).20200327A
- Brown, M. R., Javorsky, G., & Platts, D. G. (2010). Accuracy of 3-Dimensional Transoesophageal Echocardiography in Assessment of Prosthetic Mitral Valve Dehiscence with Comparison to Anatomical Specimens. Cardiology Research and Practice, 2010(), 189-190. https://doi.org/10.4061/2010/750874
- Kossaify, A., & Akiki, V. (2014). Echocardiographic Assessment of Mitral Valve Regurgitation, Pattern and Prevalence, Expanding Clinical Awareness Through an Institutional Survey with the Perspective of a Quality Improvement Project. Clinical Medicine Insights: Cardiology, 2014(), 71-77. https://doi.org/10.4137/CMC.S17367