Streptokinase thrombolysis of a chronically thrombosed mitral prosthetic valve

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Abstract
Thrombus obstruction of a prosthetic heart valve is usually treated surgically. We report a well‐documented case of an obstructed mitral prosthetic valve where fibrinolytic treatment was successful. Furthermore the thrombus formation probably had occurred 6 months earlier. Thus fibrinolysis appears to be a safe alternative to surgery although late occurrence of thrombosis may be possible.

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